Kenneth Trevino, PH.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KENNETH TREVINO, PH.D., PLLC

Practice address

12801 N Central Expy Ste 1730
Dallas, TX 75243-1872

Phone

(817) 320-0704

Fax

(972) 677-7784

NPI assigned

Dec 30, 2019

Last updated

Dec 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Trevino, PHDNPI 1598188591

Title

Owner/Clinical Psychologist

Phone

(817) 320-0704

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Trevino, PH.D.

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1598188591
  Authorized official Same address or phone

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1588203111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 N CENTRAL EXPY STE 1730",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431872",
            "telephone_number": "817-320-0704",
            "fax_number": "972-677-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 N CENTRAL EXPY STE 1730",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431872",
            "telephone_number": "817-320-0704",
            "fax_number": "972-677-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH TREVINO, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "817-320-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth I Uzick OD PC (Dr. Kenneth I. Uzick and Associates)
• Kenneth R Dority DO PA (Occupational Health Source)
• Kenneth R Kollmeyer MD PA
• Kenneth S Bayles DO PA (Center For Fracture Treatment & Orthopedic Surgery)
• Kenneth S. Siedler, Psy.D., LLC
• Angela Kenney, FNP
• Bruce Kenney
• Charles Michael Kenney, DDS
• Julia Brooke Kenney, M.A., CCC-SLP
• Michael Patrick Kenny, MMT, MT-BC

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.