Organization Active NPI

H. Denise Wooten, PSYD PA

  • Clinical Psychologist
  • Flower Mound, TX
National Provider Identifier
1972732303
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24437 Issued in TX
Legal business name
H. DENISE WOOTEN, PSYD PA
Practice address
3861 Long Prairie Rd
Ste. 101
Flower Mound, TX 75028
Phone
(972) 539-8353
Fax
(972) 539-8353
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Connie Schoenrade
Title
Practice Manager
Phone
(972) 539-8353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 24437 TX Primary

Addresses

Primary practice location

3861 Long Prairie Rd
Ste. 101
Flower Mound, TX 75028

Mailing address

3861 Long Prairie Rd
Ste. 101
Flower Mound, TX 75028
Phone (972) 539-8353

Other identifiers 1

IdentifierTypeStateIssuer
096715002MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140502000307 TX Part B Supplier - Clinic/Group Practice 9133352974 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

1422 W Main St
Ste 206
Lewisville, TX 75067

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1972732303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 LONG PRAIRIE RD",
            "address_2": "STE. 101",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-539-8353",
            "fax_number": "972-539-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 LONG PRAIRIE RD",
            "address_2": "STE. 101",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-539-8353",
            "fax_number": "972-539-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. DENISE WOOTEN, PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SCHOENRADE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-539-8353"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096715002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.