Organization Active NPI

Susan Talmage, PHD, PA

  • Psychologist
  • Dallas, TX
National Provider Identifier
1639678113
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24635 Issued in TX
Legal business name
SUSAN TALMAGE, PHD, PA
Practice address
20 Vanguard Way
Dallas, TX 75243-6510
Phone
(214) 206-6822
Fax
(214) 247-0632
NPI assigned
Feb 9, 2018
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Dr. Susan Talmage, PHD
Title
Owner
Phone
(214) 206-6822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 24635 TX Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

20 Vanguard Way
Dallas, TX 75243-6510

Mailing address

20 Vanguard Way
Dallas, TX 75243-6510
Phone (214) 206-6822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1639678113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VANGUARD WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436510",
            "telephone_number": "214-206-6822",
            "fax_number": "214-247-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VANGUARD WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436510",
            "telephone_number": "214-206-6822",
            "fax_number": "214-247-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN TALMAGE, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "TALMAGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-206-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24635",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 12, 2020; 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.