Active NPI
Deborah A Parker, PH.D
- Clinical Child & Adolescent Psychologist
- Plano, TX
National Provider Identifier
1962478958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 23569
- Practice address
- 4031 W Plano Pkwy
Ste 213
Plano, TX 75093-5631 - Phone
- (972) 599-1953
- Fax
- (972) 675-3989
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 23569 | TX | |
| Counseling Psychologist | 103TC1900X | 23569 | TX | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 23569 | TX | Primary |
Addresses
Primary practice location
4031 W Plano Pkwy
Ste 213
Plano, TX 75093-5631
Mailing address
4031 W Plano Pkwy
Suite 213
Plano, TX 75093-5619
Phone (972) 599-1953
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032705801 | Medicaid | TX | |
| PARKE-0006 | Other | TX | COMPCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120629000192 | TX | Practitioner - Clinical Psychologist | 5496910226 | Practice locations: Plano, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4031 W Plano Pkwy
Plano, TX 75093-5631
Phone (972) 599-1953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23569 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1962478958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 W PLANO PKWY",
"address_2": "SUITE 213",
"city": "PLANO",
"state": "TX",
"postal_code": "750935619",
"telephone_number": "972-599-1953",
"fax_number": "972-675-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 W PLANO PKWY",
"address_2": "STE 213",
"city": "PLANO",
"state": "TX",
"postal_code": "750935631",
"telephone_number": "972-599-1953",
"fax_number": "972-675-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TX",
"license": "23569",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "23569",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "23569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032705801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPCARE",
"identifier": "PARKE-0006",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.