Individual provider Active NPI

Desiree Frazier, PSY.D.

  • Clinical Psychologist
  • Lantana, TX
National Provider Identifier
1881955565
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35182 Issued in TX
Practice address
8504 Silverleaf Cir
Lantana, TX 76226-5594
Phone
(405) 627-6593
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 35182 TX
Clinical Psychologist 103TC0700X 35182 TX Primary

Addresses

Primary practice location

8504 Silverleaf Cir
Lantana, TX 76226-5594

Mailing address

PO Box 270001
Flower Mound, TX 75027-0001
Phone (972) 815-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35182TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lionheart Psychology, PLLC CurrentSince Sep 12, 2021 Accepting new patients

Locations

413 W Bethel Rd
Ste 100
Coppell, TX 75019
Phone (972) 304-8032

2201 Spinks Rd
Ste 142
Flower Mound, TX 75022
Phone (972) 815-1034

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1881955565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270001",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750270001",
            "telephone_number": "972-815-1034",
            "fax_number": "972-304-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 SILVERLEAF CIR",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762265594",
            "telephone_number": "405-627-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "DESIREE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "35182",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.