NPIMap

Organization Active NPI

Psychology Associates of East Texas, LLC.

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1588061923
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PSYCHOLOGY ASSOCIATES OF EAST TEXAS, LLC.
Practice address
2010 Sybil LN
Tyler, TX 75703-1823
Phone
(903) 596-8118
Fax
(903) 596-8125
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Sandra C Harper, PH.D.
Title
Partner
Phone
(903) 596-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X TX Primary

Addresses

Primary practice location

2010 Sybil LN
Tyler, TX 75703-1823

Mailing address

2010 Sybil LN
Tyler, TX 75703-1823
Phone (903) 596-8118

National Provider Directory

National Provider Directory

Locations

2010 Sybil Ln
Tyler, TX 75703
Phone (903) 596-8118

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1588061923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SYBIL LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031823",
            "telephone_number": "903-596-8118",
            "fax_number": "903-596-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SYBIL LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031823",
            "telephone_number": "903-596-8118",
            "fax_number": "903-596-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY ASSOCIATES OF EAST TEXAS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-596-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.