Dallas Neurorehab Center

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

33993 Issued in TX

Legal business name

DALLAS NEUROREHAB CENTER

Practice address

1400 Preston Rd Ste 300
Plano, TX 75093-3603

Phone

(469) 931-2229

Fax

(214) 614-4610

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Julian Osuji, PHD

Title

Owner

Phone

(469) 931-2229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Jordasha Atchison

  • Psychologist
  • Plano, TX
  • NPI 1679340251
  Medicare reassignment NPD
• Jennifer Isabelle Caussade Rodriguez, PSYD

  • Clinical Psychologist
  • Plano, TX
  • NPI 1730640442

  Single Specialty

  Medicare reassignment NPD
• Princess S Braggs, PHD

  • Clinical Neuropsychologist
  • Dallas, TX
  • NPI 1508691460
  Medicare reassignment
• Liliana Haenner, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1902308927
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1922448307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933603",
            "telephone_number": "469-931-2229",
            "fax_number": "214-614-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933603",
            "telephone_number": "469-931-2229",
            "fax_number": "214-614-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NEUROREHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "OSUJI",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-931-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.