Star Neuropsychology, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

STAR NEUROPSYCHOLOGY, PLLC

Doing business as

STAR Neuropsychology, PLLC

Practice address

9741 Preston Rd Ste 203
Frisco, TX 75033-2554

Phone

(415) 730-1177

NPI assigned

Jul 16, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marie Dahdah, PH.D.NPI 1144669599

Title

Owner/ Clinical Neuropsychologist

Phone

(415) 730-1177

Specialties & licenses 1

Addresses

Other names 1

• STAR Neuropsychology, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Dahdah, PH.D.

  • Clinical Neuropsychologist
  • Frisco, TX
  • NPI 1144669599
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1558979443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8992 PRESTON RD STE 110-760",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343965",
            "telephone_number": "415-730-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 PRESTON RD STE 203",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332554",
            "telephone_number": "415-730-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "DAHDAH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "415-730-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR Neuropsychology, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.