Active NPI
Bruce Alan Parsons, PSY.D.
- Psychologist
- St Paul, TX
National Provider Identifier
1942947098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 39032
- Practice address
- 2402 Vista Oaks LN
St Paul, TX 75098-9037 - Phone
- (972) 571-7845
- NPI assigned
- May 18, 2022
- Last updated
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 39032 | TX | Primary |
Addresses
Primary practice location
2402 Vista Oaks LN
St Paul, TX 75098-9037
Mailing address
2402 Vista Oaks LN
St Paul, TX 75098-9037
Phone (972) 213-2783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39032 | Other | TX | TEXAS LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220818001109 | TX | Practitioner - Psychologist Billing Independently | 6800279134 | Practice locations: St Paul, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1942947098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 VISTA OAKS LN",
"city": "ST PAUL",
"state": "TX",
"postal_code": "750989037",
"telephone_number": "972-213-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 VISTA OAKS LN",
"city": "ST PAUL",
"state": "TX",
"postal_code": "750989037",
"telephone_number": "972-571-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARSONS",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "39032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSURE",
"identifier": "39032",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Paul, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.