Individual provider Active NPI

Carlos Daniel Marquez de la Plata, PHD

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1629223557
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
33990 Issued in TX
Practice address
4101 McEwen Rd Ste 318
Dallas, TX 75244-5257
Phone
(469) 975-2411
NPI assigned
Nov 19, 2008
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 33990 TX Primary
Clinical Psychologist 103TC0700X 33990 TX
Rehabilitation Psychologist 103TR0400X 33990 TX

Addresses

Primary practice location

4101 McEwen Rd Ste 318
Dallas, TX 75244-5257

Mailing address

4101 McEwen Rd Ste 318
Dallas, TX 75244-5257
Phone (469) 975-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716000715 TX Practitioner - Clinical Psychologist 6204161128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neuropsychology and Counseling Center LLCGroup PAC ID 5395070213, 2 clinicians

Practice addresses (Care Compare)

4101 McEwen Rd
Suite 318
Dallas, TX 75244-5257
Phone (469) 975-2411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.77 of 100Reported as individual
Quality
95.89
Improvement activities
0
Cost
81.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33990TXMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Neuropsychology & Counseling Center, LLC Clinical Neuropsychologist CurrentSince Mar 30, 2019 Accepting new patients

Locations

4101 McEwen Rd
Ste 318
Dallas, TX 75244
Phone (469) 975-2411

2301 Marsh Ln
#200
Plano, TX 75093
Phone (972) 695-6479

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1629223557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445257",
            "telephone_number": "469-975-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445257",
            "telephone_number": "469-975-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ DE LA PLATA",
        "first_name": "CARLOS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33990",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33990",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "33990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.