Organization Active NPI

Cil Psychological Services PLLC

  • Health Service Psychologist
  • Carrollton, TX
National Provider Identifier
1982234340
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
CIL PSYCHOLOGICAL SERVICES PLLC
Practice address
3740 N Josey LN Ste 246
Carrollton, TX 75007-2509
Phone
(972) 523-0200
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Cheryl L Inmon Long, PHDNPI 1457676819
Title
Clinical Psychologist
Phone
(972) 523-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X Primary

Addresses

Primary practice location

3740 N Josey LN Ste 246
Carrollton, TX 75007-2509

Mailing address

1079 W Round Grove Rd Ste 300-350
Lewisville, TX 75067-7905
Phone (972) 523-0200

Other practice location 1

4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548
Phone (972) 523-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211109003136 TX Part B Supplier - Clinic/Group Practice 5496144602 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

3740 N Josey Ln
Ste 246
Carrollton, TX 75007
Phone (972) 492-0755

4221 Medical Pkwy
Ste 400
Carrollton, TX 75010
Phone (469) 346-8600

1079 W Round Grove Rd
Ste 300350
Lewisville, TX 75067

6010 W Spring Creek Pkwy
Ste 320
Plano, TX 75024
Phone (972) 523-0200

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": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1982234340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 W ROUND GROVE RD STE 300-350",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677905",
            "telephone_number": "972-523-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN STE 246",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072509",
            "telephone_number": "972-523-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 Medical Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104548",
            "country_code": "US",
            "telephone_number": "972-523-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIL PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "INMON LONG",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "972-523-0200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.