Alexis Inabinet Clyde, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

35142 Issued in TX

Practice address

6300 Harry Hines Blvd
Suite 900
Dallas, TX 75235-5259

Phone

(214) 456-3261

NPI assigned

Sep 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Children'S Health System of Texas

  • Children's Hospital
  • Dallas, TX
  • NPI 1194743013
  Medicare reassignment NPD
• Children'S Health System of Texas

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1881830602
  NPD

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1770867426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HARRY HINES BLVD",
            "address_2": "SUITE 1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355259",
            "telephone_number": "214-456-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HARRY HINES BLVD",
            "address_2": "SUITE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355259",
            "telephone_number": "214-456-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYDE",
        "first_name": "ALEXIS",
        "middle_name": "INABINET",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "35142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard David Clubb
• Shala Deanne Clucas, CRNA
• Davetta Cluke, LPC
• Jennifer Clutter, M.S. CCC-SLP
• Hadley Clyce
• Caitlin Clyde, PA-C
• Susan G. Clynes, LCSW
• Cman Surgical Associates
• Cmdpn Medical Group of Texas, P.a.
• Erin Cmerek, MSSW, LCSW

• Clinical Child & Adolescent Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.