Individual provider Active NPI

David T Hanks, PH.D.

  • Clinical Psychologist
  • Richardson, TX
National Provider Identifier
1780789776
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22974 Issued in TX
Practice address
670 W Arapaho Rd
S#9
Richardson, TX 75080-4200
Phone
(972) 596-5960
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22974 TX Primary

Addresses

Primary practice location

670 W Arapaho Rd
S#9
Richardson, TX 75080-4200

Mailing address

5760 Legacy Dr
S# B3-432
Plano, TX 75024-7102
Phone (972) 596-5960

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
I20050131001065 TX Practitioner - Clinical Psychologist 3476503020 Practice locations: Richardson, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

670 W Arapaho Rd
Suite 9
Richardson, TX 75080-4213
Phone (972) 596-5960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22974TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary MD PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1780789776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 LEGACY DR",
            "address_2": "S# B3-432",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247102",
            "telephone_number": "972-596-5960",
            "fax_number": "972-231-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W ARAPAHO RD",
            "address_2": "S#9",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804200",
            "telephone_number": "972-596-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.