Active NPI
H. Denise Wooten, PSYD PA
- Clinical Psychologist
- Flower Mound, TX
National Provider Identifier
1972732303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24437
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096715002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Child & Adolescent Psychologist
- Flower Mound, TX
- NPI 1972699692
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.