Individual provider Active NPI

Monica D Durham, PSYD, LP

  • Clinical Psychologist
  • Fort Worth, TX
National Provider Identifier
1740666957
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37156 Issued in TX
Practice address
1300 S University Dr Ste 306
Fort Worth, TX 76107-5746
Phone
(844) 824-8775
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37156 TX
Clinical Psychologist 103TC0700X 37156 TX Primary

Addresses

Primary practice location

1300 S University Dr Ste 306
Fort Worth, TX 76107-5746

Mailing address

5575 Warren Pkwy Ste 120
Frisco, TX 75034-4093
Phone (844) 824-8775

Other practice location 1

5575 Warren Pkwy Ste 120
Frisco, TX 75034-4093
Phone (844) 824-8775

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
I20161021001964 TX Practitioner - Clinical Psychologist 1951689157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

5575 Warren Pkwy
Suite 120
Frisco, TX 75034-4093
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37156TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients
My Health My Resources of Tarrant County CurrentSince Jul 16, 2016 Accepting new patients
Progressive Behavioral Health, PLLC Clinical CurrentSince Jul 22, 2021 Accepting new patients
PHC of Buffalo Grove Clinical Psychology Psychologist PastSince Jul 1, 2017 Accepting new patients

Locations

11551 Forest Central Dr
Ste 202
Dallas, TX 75243
Phone (817) 751-7802

1300 Circle Dr
Fort Worth, TX 76119
Phone (682) 800-7818

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

5575 Warren Pkwy
Ste 120
Frisco, TX 75034
Phone (972) 731-5151

1300 S University Dr
Ste 306
Ft Worth, TX 76107
Phone (817) 410-7300

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (317) 362-3417

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

505 E Palm Valley Blvd
Ste 240
Round Rock, TX 78664
Phone (512) 310-7177

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802

Interoperability endpoints

  • Direct secure messaging: monicadurham@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1740666957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344093",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S UNIVERSITY DR STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075746",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 Warren Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750344093",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "MONICA",
        "middle_name": "D",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37156",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.