NPIMap

Organization Active NPI

Affect Group, Inc.

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1659558146
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35485 Issued in TX
Legal business name
AFFECT GROUP, INC.
Practice address
10300 N Central Expy
Suite 172
Dallas, TX 75231-8600
Phone
(214) 520-7007
Fax
(214) 361-1929
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Michelle Lee Young, PHDNPI 1487704094
Title
Clinical Social Worker
Phone
(214) 520-7007

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 Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 35485 TX Primary

Addresses

Primary practice location

10300 N Central Expy
Suite 172
Dallas, TX 75231-8600

Mailing address

10300 N Central Expy
Suite 172
Dallas, TX 75231-8600
Phone (214) 520-7007

Other identifiers 1

IdentifierTypeStateIssuer
026482201MedicaidTX

National Provider Directory

National Provider Directory

Locations

10300 N Central Expy
Ste 172
Dallas, TX 75231
Phone (214) 228-1888

10300 N Central Expy
#Y
Dallas, TX 75231
Phone (214) 228-1888

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1659558146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY",
            "address_2": "SUITE 172",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318600",
            "telephone_number": "214-520-7007",
            "fax_number": "214-361-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY",
            "address_2": "SUITE 172",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318600",
            "telephone_number": "214-520-7007",
            "fax_number": "214-361-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "214-520-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026482201",
            "state": "TX"
        }
    ],
    "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 May 19, 2009; 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.