Active NPI
Virginia S Secrest, PH.D.
- Psychologist
- Plano, TX
National Provider Identifier
1679586143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2-3007
- Practice address
- 2301 Ohio Dr
Suite 202
Plano, TX 75093-3927 - Phone
- (972) 985-1424
- Fax
- (972) 673-0768
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2-3007 | TX | Primary |
Addresses
Primary practice location
2301 Ohio Dr
Suite 202
Plano, TX 75093-3927
Mailing address
2329 Cross Bend Rd
Plano, TX 75023-6407
Phone (972) 673-0767
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23007 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marriage Is a Business- Center for Therapy and Education | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Plano, TX
- NPI 1801138649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679586143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2329 CROSS BEND RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750236407",
"telephone_number": "972-673-0767",
"fax_number": "972-673-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 OHIO DR",
"address_2": "SUITE 202",
"city": "PLANO",
"state": "TX",
"postal_code": "750933927",
"telephone_number": "972-985-1424",
"fax_number": "972-673-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECREST",
"first_name": "VIRGINIA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2-3007",
"primary": true
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.