NPIMap

Organization Active NPI

Spiris Group LLC

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1710106885
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SPIRIS GROUP LLC
Practice address
3811 Turtle Creek Blvd
Suite 1925
Dallas, TX 75219
Phone
(214) 443-7808
Fax
(214) 443-7807
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
William D Shepard, PH.D.NPI 1548225899
Title
Owner/Partner
Phone
(214) 443-7808

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3811 Turtle Creek Blvd
Suite 1925
Dallas, TX 75219

Mailing address

3811 Turtle Creek Blvd
Suite 1925
Dallas, TX 75219
Phone (214) 443-7808

Other identifiers 1

IdentifierTypeStateIssuer
0022KZOtherTXBCBS OF TEXAS GROUP

Other names 1

  • Simonsen Shepard Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Simonsen Shepard2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1710106885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 TURTLE CREEK BLVD",
            "address_2": "SUITE 1925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-443-7808",
            "fax_number": "214-443-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 TURTLE CREEK BLVD",
            "address_2": "SUITE 1925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-443-7808",
            "fax_number": "214-443-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "214-443-7808",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP",
            "identifier": "0022KZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simonsen Shepard Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2018; 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.