Psychological Testing Services of Dallas, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL TESTING SERVICES OF DALLAS, PLLC

Practice address

1400 Preston Rd Ste 300
Plano, TX 75093-3603

Phone

(972) 532-9282

NPI assigned

Dec 10, 2018

Last updated

Dec 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Grandjean, PHDNPI 1447688726

Title

Owner

Phone

(972) 532-9282

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, and the practitioner matching its NPPES authorized official.

• Nicole Grandjean

  • Psychologist
  • Dallas, TX
  • NPI 1447688726
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1770054165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933603",
            "telephone_number": "972-532-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933603",
            "telephone_number": "972-532-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL TESTING SERVICES OF DALLAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "GRANDJEAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-532-9282",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaida Pryor, LMFT-A
• Susan Pryor, MD
• Psychiatric Hospital Group, PLLC
• Psychiatric Medical Associates, PA
• Psychiatry Associates of Texas, P.a. (Ultimate Psychiatry)
• Psychone Associates LLC
• Psyclear, PLLC
• PT Concepts of Plano West, LLC
• Gabriela Paola Puche, RDN, LD
• Shea Lauren Puckett, RD, LD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.