NPIMap

Organization Active NPI

Pediatric Neuropsychology Services, PLLC

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1629313044
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
31451 Issued in TX
Legal business name
PEDIATRIC NEUROPSYCHOLOGY SERVICES, PLLC
Practice address
17770 Preston Rd
Suite 1F
Dallas, TX 75252-6084
Phone
(972) 248-3682
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Michelle LurieNPI 1407826290
Title
Neuropsychologist
Phone
(972) 248-3682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 31451 TX Primary

Addresses

Primary practice location

17770 Preston Rd
Suite 1F
Dallas, TX 75252-6084

Mailing address

17770 Preston Rd
Suite 1F
Dallas, TX 75252-6084

National Provider Directory

National Provider Directory

Locations

17770 Preston Rd
Ste 1F
Dallas, TX 75252
Phone (972) 248-3682

Practitioners & affiliated clinicians

Practitioners 1

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": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1629313044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17770 PRESTON RD",
            "address_2": "SUITE 1F",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17770 PRESTON RD",
            "address_2": "SUITE 1F",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526084",
            "telephone_number": "972-248-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROPSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "LURIE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "972-248-3682",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "31451",
            "primary": true
        }
    ],
    "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 Dec 11, 2012; 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.