Individual provider Active NPI

Lindsey Anne Seefeldt, LP

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1629521620
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39242 Issued in TX
Practice address
12801 North Central Expressway
Suite 1560
Dallas, TX 75243
Phone
(469) 900-7536
Fax
(716) 831-1818
NPI assigned
Jul 27, 2016
Reactivated
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Psychologist 103TC0700X 39242 TX Primary

Addresses

Primary practice location

12801 North Central Expressway
Suite 1560
Dallas, TX 75243

Mailing address

12801 North Central Expressway
Suite 1560
Dallas, TX 75243
Phone (469) 900-7536

Other names 1

  • Lindsey Anne Bond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39242TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1629521620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 NORTH CENTRAL EXPRESSWAY",
            "address_2": "SUITE 1560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "469-900-7536",
            "fax_number": "716-831-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 NORTH CENTRAL EXPRESSWAY",
            "address_2": "SUITE 1560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "469-900-7536",
            "fax_number": "716-831-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEFELDT",
        "first_name": "LINDSEY",
        "middle_name": "ANNE",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2024-03-01",
        "deactivation_date": "2023-12-18",
        "reactivation_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "BOND",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 1, 2024; 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.