Christy Tucker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36780 Issued in TX

Practice address

5646 Milton St
Suite 875
Dallas, TX 75206-3907

Phone

(512) 923-8825

Fax

(214) 987-9101

NPI assigned

Oct 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1972906162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 MILTON ST",
            "address_2": "SUITE 875",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063907",
            "telephone_number": "512-923-8825",
            "fax_number": "214-987-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 MILTON ST",
            "address_2": "SUITE 875",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063907",
            "telephone_number": "512-923-8825",
            "fax_number": "214-987-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CHRISTY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kay Tucker, PT, DPT
• Ashley Tucker, MS, CCC-SLP
• Austin Farris Tucker, CRNA
• Brittney Tucker, MA
• Caitlin Tucker, APRN, FNP-C
• Connie Montgomery Tucker
• Grant M Tucker
• Jaclyn Tucker, PA-C
• Justin Randal Tucker, MS, CCC/SLP, ATP
• Kimberlee Lynn Tucker, B.A.

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.