Individual provider Active NPI

David W Labrie, PH.D

  • Clinical Psychologist
  • Bedford, TX
National Provider Identifier
1851362362
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39425 Issued in TX
Practice address
1901 Central Dr Ste 160
Bedford, TX 76021-5823
Phone
(682) 289-0546
Fax
(855) 658-1426
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39425 TX Primary
Clinical Psychologist 103TC0700X PS015066 PA
Clinical Psychologist 103TC0700X 5401 NC
Clinical Psychologist 103TC0700X 0810006008 VA

Addresses

Primary practice location

1901 Central Dr Ste 160
Bedford, TX 76021-5823

Mailing address

1332 Bolling Ave
Norfolk, VA 23508-1302

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-7641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201022000368 VA Practitioner - Clinical Psychologist 9436397254 Reassigns benefits to 1 organization
I20221117002369 TX Practitioner - Clinical Psychologist 9436397254 Reassigns benefits to 2 organizations
I20231229001706 NC Practitioner - Clinical Psychologist 9436397254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salt and Light Psychological Services PLLCGroup PAC ID 3072908565, 6 clinicians

Practice addresses (Care Compare)

1901 Central Dr
Suite 160
Bedford, TX 76021-5823
Phone (682) 289-0546

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salt and Light Psychological Services PLLC Clinical CurrentSince Nov 7, 2023 Accepting new patients
Psychological and Life Skills Associates, P.C. CurrentSince Sep 1, 2020 Accepting new patients
Grow Healthcare Group PA CurrentSince Sep 13, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1901 Central Dr
Ste 160
Bedford, TX 76021
Phone (682) 289-0525

7165 Colleyville Blvd
Ste 101
Colleyville, TX 76034
Phone (682) 289-0546

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

13885 Hedgewood Dr
Ste 245
Woodbridge, VA 22193
Phone (703) 490-0336

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1851362362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 BOLLING AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL DR STE 160",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215823",
            "telephone_number": "682-289-0546",
            "fax_number": "855-658-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABRIE",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39425",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015066",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5401",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.