Active NPI
Grace Schuler Spencer, PSYD
- Psychologist
- Southlake, TX
National Provider Identifier
1740774785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 39800
- Practice address
- 2419 W Southlake Blvd Ste 110
Southlake, TX 76092-1506 - Phone
- (817) 601-5540
- NPI assigned
- Jun 21, 2018
- Reactivated
- May 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 39800 | TX | Primary |
Addresses
Primary practice location
2419 W Southlake Blvd Ste 110
Southlake, TX 76092-1506
Mailing address
2419 W Southlake Blvd Ste 110
Southlake, TX 76092-1506
Phone (817) 601-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39800 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747440000000",
"number": "1740774785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 W SOUTHLAKE BLVD STE 110",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921506",
"telephone_number": "817-601-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 W SOUTHLAKE BLVD STE 110",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921506",
"telephone_number": "817-601-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "GRACE",
"middle_name": "SCHULER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2025-05-17",
"certification_date": "2025-05-17",
"deactivation_date": "2020-05-26",
"reactivation_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "39800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.