New Balance Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEW BALANCE PSYCHOLOGICAL SERVICES, PLLC

Practice address

320 N Travis St Ste 305
Sherman, TX 75090-5999

Phone

(972) 607-9980

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jenna A Miller, PSYDNPI 1528339173

Title

Owner

Phone

(773) 344-6535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Anne Miller, PSY.D.

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1528339173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1730725995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 CORNERSTONE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706490",
            "telephone_number": "773-344-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N TRAVIS ST STE 305",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905999",
            "telephone_number": "972-607-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BALANCE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-344-6535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Nester
• Jennifer Diane Neu, MOT
• Jessica Neuhauser
• Neurologic & Spine Institute
• Neurologic & Spine Institute of N.TX., PA
• New Horizons Advanced Wound Care LLC
• Nexion Health at Sherman, Inc.
• Diana Thanh Ngo
• Christopher Nguyen, DMD
• Penny Nguyen

• Psychologist in Sherman, TX
• Providers in Sherman, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.