Active NPI
Chelsea E Fiduccia, PHD
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1578083655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 37370
- Practice address
- 9696 Skillman St Ste 170
Dallas, TX 75243-8253 - Phone
- (469) 680-3500
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 37370 | TX | Primary |
| Psychologist | 103T00000X | 37370 | TX |
Addresses
Primary practice location
9696 Skillman St Ste 170
Dallas, TX 75243-8253
Mailing address
808 Clearwater LN
Keller, TX 76248-2853
Other practice location 1
16160 Midway Rd Ste 218
Addison, TX 75001-4202
Phone (469) 680-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1578083655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 CLEARWATER LN",
"city": "KELLER",
"state": "TX",
"postal_code": "762482853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9696 SKILLMAN ST STE 170",
"city": "DALLAS",
"state": "TX",
"postal_code": "752438253",
"telephone_number": "469-680-3500"
}
],
"practiceLocations": [
{
"address_1": "16160 Midway Rd Ste 218",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750014202",
"country_code": "US",
"telephone_number": "469-680-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIDUCCIA",
"first_name": "CHELSEA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37370",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "37370",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.