Highland Park Behavioral Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

G3101 Issued in TX

Legal business name

HIGHLAND PARK BEHAVIORAL MEDICINE

Practice address

4300 Macarthur Ave
Suite 260
Dallas, TX 75209-6524

Phone

(972) 709-1961

Fax

(972) 283-1689

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Ronnie A. Pollard, M.D.

Title

Owner

Phone

(972) 709-1961

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1609292218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MACARTHUR AVE",
            "address_2": "SUITE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096524",
            "telephone_number": "972-709-1961",
            "fax_number": "972-283-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MACARTHUR AVE",
            "address_2": "SUITE 260",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096524",
            "telephone_number": "972-709-1961",
            "fax_number": "972-283-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-709-1961",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.