Organization Active NPI

Health Psychology Center

Doing business as Behavioral Health Providers

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1922317858
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33427 Issued in TX
Legal business name
HEALTH PSYCHOLOGY CENTER
Doing business as
Behavioral Health Providers
Practice address
8390 LBJ Freeway
Suite 1000
Dallas, TX 75243-1288
Phone
(214) 361-2100
Fax
(214) 361-2145
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Nicole M Mangum, PHDNPI 1790727451
Title
Psychologist
Phone
(214) 361-2100

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: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 33427 TX Primary

Addresses

Primary practice location

8390 LBJ Freeway
Suite 1000
Dallas, TX 75243-1288

Mailing address

P.O. Box 537
Sulphur Springs, TX 75483-0537
Phone (214) 361-2100

Other names 1

  • Behavioral Health Providers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150211000654 TX Part B Supplier - Clinic/Group Practice 2365767589 Receives reassigned benefits from 11 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

5925 Forest Ln
Ste 505
Dallas, TX 75230

9262 Forest Ln
Ste 101
Dallas, TX 75243
Phone (214) 340-5090

1215 Kinwest Pkwy
#120
Irving, TX 75063
Phone (214) 496-0500

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1922317858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 537",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754830537",
            "telephone_number": "214-361-2100",
            "fax_number": "214-361-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 LBJ FREEWAY",
            "address_2": "SUITE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288",
            "telephone_number": "214-361-2100",
            "fax_number": "214-361-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PSYCHOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "214-361-2100",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.