Organization Active NPI

Rock and Rose Wellness PLLC

  • Clinical Psychologist
  • Euless, TX
National Provider Identifier
1912537242
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ROCK AND ROSE WELLNESS PLLC
Practice address
405 River Birch Rd
Euless, TX 76039-1506
Phone
(214) 732-3395
Fax
(888) 909-5191
NPI assigned
Jan 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Authorized official

Name
Dr. Kerri L TomNPI 1437304300
Title
Owner
Phone
(214) 732-3395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

405 River Birch Rd
Euless, TX 76039-1506

Mailing address

405 River Birch Rd
Euless, TX 76039-1506
Phone (214) 732-3395

Other names 1

  • Kerri Tom Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1579996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1912537242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RIVER BIRCH RD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760391506",
            "telephone_number": "214-732-3395",
            "fax_number": "888-909-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RIVER BIRCH RD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760391506",
            "telephone_number": "214-732-3395",
            "fax_number": "888-909-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK AND ROSE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-732-3395",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerri Tom",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.