Active NPI
Davidson Counseling Group PC
- Clinical Psychologist
- Plano, TX
National Provider Identifier
1639447113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36018
- Legal business name
- DAVIDSON COUNSELING GROUP PC
- Practice address
- 7800 Preston Rd Ste 145
Plano, TX 75024-3239 - Phone
- (972) 251-9615
- Fax
- (877) 581-3908
- NPI assigned
- Dec 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Davidson, PH.D.
- Title
- Ceo
- Phone
- (972) 251-9615
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36018 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 36019 | TX |
Addresses
Primary practice location
7800 Preston Rd Ste 145
Plano, TX 75024-3239
Mailing address
3500 Wilshire Dr
Plano, TX 75023-6017
Phone (972) 251-9615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7800 Preston Rd
Ste 145
Plano, TX 75024
Phone (972) 251-9615
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": "1323648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1639447113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WILSHIRE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750236017",
"telephone_number": "972-251-9615",
"fax_number": "877-581-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 PRESTON RD STE 145",
"city": "PLANO",
"state": "TX",
"postal_code": "750243239",
"telephone_number": "972-251-9615",
"fax_number": "877-581-3908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIDSON COUNSELING GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-251-9615",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36018",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.