NPIMap

Organization Active NPI

Lake Ridge Psychological Services, PC

Doing business as Dorthy Floyd, Ph.D.

  • Clinical Psychologist
  • Sherman, TX
National Provider Identifier
1780906743
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23065 Issued in TX
Legal business name
LAKE RIDGE PSYCHOLOGICAL SERVICES, PC
Doing business as
Dorthy Floyd, Ph.D.
Practice address
402 W Lamar St
Suite 102
Sherman, TX 75090-5885
Phone
(903) 893-0298
Fax
(903) 892-6323
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dorthy Floyd, PH.D.
Title
Clinical Psychologist
Phone
(972) 896-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 23065 TX Primary

Addresses

Primary practice location

402 W Lamar St
Suite 102
Sherman, TX 75090-5885

Mailing address

PO Box 1154
Sherman, TX 75091-1154
Phone (903) 893-0298

Other names 1

  • Dorthy Floyd, Ph.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1780906743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1154",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750911154",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W LAMAR ST",
            "address_2": "SUITE 102",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905885",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE RIDGE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "DORTHY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "972-896-6443",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorthy Floyd, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.