Wellspring Psychological Associates, P.L.L.C.Wellspring Psycho

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WELLSPRING PSYCHOLOGICAL ASSOCIATES, P.L.L.C.WELLSPRING PSYCHO

Practice address

658 SW 3Rd St
Grand Prairie, TX 75051-1805

Phone

(832) 448-2830

Fax

(832) 448-2801

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frank A Fee, PHD

Title

Owner

Phone

(832) 448-2800

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750551867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 WICKCHESTER LN",
            "address_2": "SUITE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791229",
            "telephone_number": "832-448-2830",
            "fax_number": "832-448-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 SW 3RD ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511805",
            "telephone_number": "832-448-2830",
            "fax_number": "832-448-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING PSYCHOLOGICAL ASSOCIATES, P.L.L.C.WELLSPRING PSYCHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FEE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-448-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0033QU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MEDICARE",
            "identifier": "DG5459",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.