Active NPI
Paul David Cherry, PHD
- Clinical Psychologist
- Garland, TX
National Provider Identifier
1770637340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22201PSYCHOLOGIST
- Practice address
- 3635 Broadway
Suite C
Garland, TX 75043-1675 - Phone
- (972) 278-4669
- Fax
- (972) 278-2521
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22201PSYCHOLOGIST | TX | Primary |
Addresses
Primary practice location
3635 Broadway
Suite C
Garland, TX 75043-1675
Mailing address
3635 Broadway
Suite C
Garland, TX 75043-1675
Phone (972) 278-4669
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22201PSYCHOLOGIST | TX | MD | Clinical Psychologist |
| 22201 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770637340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 BROADWAY",
"address_2": "SUITE C",
"city": "GARLAND",
"state": "TX",
"postal_code": "750431675",
"telephone_number": "972-278-4669",
"fax_number": "972-278-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 BROADWAY",
"address_2": "SUITE C",
"city": "GARLAND",
"state": "TX",
"postal_code": "750431675",
"telephone_number": "972-278-4669",
"fax_number": "972-278-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "22201PSYCHOLOGIST",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.