NPIMap

Organization Active NPI

Edie Hernandez Putt, Psy D, LPC-PC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1972930857
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17737 Issued in TX
Legal business name
EDIE HERNANDEZ PUTT, PSY D, LPC-PC
Practice address
10405 E Northwest Hwy
Ste # 303
Dallas, TX 75238-4619
Phone
(214) 341-1400
NPI assigned
Oct 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Dr. Edie Hernandez Putt, PSY D
Title
Owner
Phone
(214) 341-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 17737 TX Primary

Addresses

Primary practice location

10405 E Northwest Hwy
Ste # 303
Dallas, TX 75238-4619

Mailing address

10405 E Northwest Hwy
Ste # 303
Dallas, TX 75238-4619
Phone (214) 341-1400

National Provider Directory

National Provider Directory

Locations

10405 E Northwest Hwy
Ste 303
Dallas, TX 75238
Phone (214) 341-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1972930857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 E NORTHWEST HWY",
            "address_2": "STE # 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384619",
            "telephone_number": "214-341-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 E NORTHWEST HWY",
            "address_2": "STE # 303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384619",
            "telephone_number": "214-341-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIE HERNANDEZ PUTT, PSY D, LPC-PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ PUTT",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-341-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.