Organization Active NPI

Paul K. Chafetz, PH.D

  • Psychologist
  • Dallas, TX
National Provider Identifier
1689801664
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
22365 Issued in TX
Legal business name
PAUL K. CHAFETZ, PH.D
Practice address
8340 Meadow Rd. #134
Dallas, TX 75231-3769
Phone
(469) 233-5566
NPI assigned
Jun 17, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Lori Billman
Title
Claims Manager
Phone
(972) 258-9570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 22365 TX Primary

Addresses

Primary practice location

8340 Meadow Rd. #134
Dallas, TX 75231-3769

Mailing address

PO Box 2132
Coppell, TX 75019-8132
Phone (972) 258-9570

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": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1689801664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2132",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198132",
            "telephone_number": "972-258-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MEADOW RD. #134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313769",
            "telephone_number": "469-233-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL K. CHAFETZ, PH.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "BILLMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "972-258-9570"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22365",
            "primary": true
        }
    ],
    "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 Jul 1, 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.