Individual provider Active NPI

Angelica Tratter, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1710009568
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5226 Issued in TX
Practice address
6330 LBJ Freeway
Suite 234
Dallas, TX 75240-6433
Phone
(214) 350-5980
Fax
(972) 239-4849
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5226 TX Primary

Addresses

Primary practice location

6330 LBJ Freeway
Suite 234
Dallas, TX 75240-6433

Mailing address

6330 LBJ Freeway
Suite 234
Dallas, TX 75240-6433
Phone (214) 350-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000441 TX Practitioner - Clinical Psychologist 7719938356 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6330 LBJ Fwy
Suite 234
Dallas, TX 75240-6433

6330 Lyndon B Johnson Frwy
Suite 234
Dallas, TX 75240-6433
Phone (214) 350-5980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5226TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creating Harmony Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1710009568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 LBJ FREEWAY",
            "address_2": "SUITE 234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406433",
            "telephone_number": "214-350-5980",
            "fax_number": "972-239-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 LBJ FREEWAY",
            "address_2": "SUITE 234",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406433",
            "telephone_number": "214-350-5980",
            "fax_number": "972-239-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRATTER",
        "first_name": "ANGELICA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "5226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.