Individual provider Active NPI

David Lerner, PH.D.

  • Clinical Neuropsychologist
  • Plano, TX
National Provider Identifier
1780052605
Registry record updated Nov 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
36992 Issued in TX
Practice address
1404 Gables CT Ste 102
Plano, TX 75075-7647
Phone
(469) 931-2062
Fax
(888) 974-0364
NPI assigned
Sep 9, 2015
Last updated
Nov 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36992 TX
Clinical Neuropsychologist 103G00000X 36992 TX Primary

Addresses

Primary practice location

1404 Gables CT Ste 102
Plano, TX 75075-7647

Mailing address

1404 Gables CT Ste 102
Plano, TX 75075-7647
Phone (469) 931-2062

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151123002232 TX Practitioner - Clinical Psychologist 4385944354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lernerandbelen Mso LLCGroup PAC ID 9830627827, 2 clinicians

Practice addresses (Care Compare)

1404 Gables CT
Suite 102
Plano, TX 75075-7647
Phone (469) 931-2062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36992TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David F. Lerner, PH.D., PLLC Clinical Neuropsychologist CurrentSince Oct 11, 2015 Accepting new patients
Lerner and Belen Clinical Neuropsychologist CurrentSince Sep 21, 2024 Accepting new patients
Neurohispanos PLLC Clinical Neuropsychologist Past Accepting new patients

Locations

6717 Eldorado Pkwy
Ste 110
McKinney, TX 75070
Phone (214) 585-0584

1404 Gables Ct
Ste 102
Plano, TX 75075
Phone (214) 548-4803

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1780052605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 GABLES CT STE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757647",
            "telephone_number": "469-931-2062",
            "fax_number": "888-974-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 GABLES CT STE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757647",
            "telephone_number": "469-931-2062",
            "fax_number": "888-974-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36992",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.