Organization Active NPI

Skye Moffitt PH.D., PLLC

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1932692290
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32837 Issued in TX
Legal business name
SKYE MOFFITT PH.D., PLLC
Practice address
10300 N Central Expy Ste 510
Dallas, TX 75231-8600
Phone
(214) 549-8783
Fax
(972) 392-9695
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Skye Porter Moffitt, PH.D.NPI 1801945415
Title
Managing Member
Phone
(214) 549-8783

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 32837 TX Primary

Addresses

Primary practice location

10300 N Central Expy Ste 510
Dallas, TX 75231-8600

Mailing address

10300 N Central Expy Ste 510
Dallas, TX 75231-8600
Phone (214) 549-8783

National Provider Directory

National Provider Directory

Locations

10300 N Central Expy
Ste 510
Dallas, TX 75231
Phone (214) 215-2499

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": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1932692290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY STE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318600",
            "telephone_number": "214-549-8783",
            "fax_number": "972-392-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY STE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318600",
            "telephone_number": "214-549-8783",
            "fax_number": "972-392-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYE MOFFITT PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "SKYE",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-549-8783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 12, 2018; 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.