Active NPI
Alfred Roberts Dooley, ED.D.
- Psychologist
- Round Rock, TX
National Provider Identifier
1770679193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 02372
- Practice address
- 2107 N. Mays
Ste. 101
Round Rock, TX 78664-2155 - Phone
- (512) 828-0800
- Fax
- (512) 445-2315
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 02372 | TX | Primary |
Addresses
Primary practice location
2107 N. Mays
Ste. 101
Round Rock, TX 78664-2155
Mailing address
1900 Cedar Ridge Dr.
Austin, TX 78741-3904
Phone (512) 445-2315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00TN 32 | Other | TX | BC/BS |
Other names 1
- Dr. Fred Dooley
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02372 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Past | Accepting new patients | |
| Senior Connections of Texas, PLLC | Past | Accepting new patients | |
| Geriatric Evaluation & Mental | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Deer Oaks Consultation Services
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Clinical Psychologist
- Austin, TX
- NPI 1225208200
-
- Clinical Psychologist
- Austin, TX
- NPI 1831368703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770679193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CEDAR RIDGE DR.",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787413904",
"telephone_number": "512-445-2315",
"fax_number": "512-445-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 N. MAYS",
"address_2": "STE. 101",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642155",
"telephone_number": "512-828-0800",
"fax_number": "512-445-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "ALFRED",
"middle_name": "ROBERTS",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "02372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00TN 32",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRED",
"last_name": "DOOLEY",
"prefix": "DR.",
"credential": "ED.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.