NPIMap

Organization Active NPI

Consulting Psychologists

  • Clinical Psychologist
  • Colleyville, TX
National Provider Identifier
1639354046
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33305 Issued in TX
Legal business name
CONSULTING PSYCHOLOGISTS
Practice address
1215 Hall Johnson Rd
Suite 100
Colleyville, TX 76034-7810
Phone
(817) 909-7995
Fax
(817) 428-9885
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Sheryl R Jackson, PHD
Title
Psychologist
Phone
(817) 909-7995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 33275 TX
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 33305 TX Primary

Addresses

Primary practice location

1215 Hall Johnson Rd
Suite 100
Colleyville, TX 76034-7810

Mailing address

1215 Hall Johnson Rd
Suite 100
Colleyville, TX 76034-7810
Phone (817) 909-7995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1639354046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HALL JOHNSON RD",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347810",
            "telephone_number": "817-909-7995",
            "fax_number": "817-428-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HALL JOHNSON RD",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347810",
            "telephone_number": "817-909-7995",
            "fax_number": "817-428-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTING PSYCHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "817-909-7995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33275",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.