Active NPI
Tahnae T Allen, PHD
- Clinical Neuropsychologist
- Prosper, TX
National Provider Identifier
1982333217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 39436
- Practice address
- 4200 W University Dr
Prosper, TX 75078-9805 - Phone
- (682) 303-9869
- Fax
- (682) 303-4242
- NPI assigned
- Jun 10, 2022
- Last updated
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 39436 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 39436 | TX |
Addresses
Primary practice location
4200 W University Dr
Prosper, TX 75078-9805
Mailing address
PO Box 730108
Dallas, TX 75373-0108
Phone (682) 885-1860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39436 | TX | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children's Medical Center - Prosper | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
4200 W University Dr
Prosper, TX 75078
Phone (682) 303-4200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Child & Adolescent Psychologist
- Prosper, TX
- NPI 1508578121
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1982333217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730108",
"city": "DALLAS",
"state": "TX",
"postal_code": "753730108",
"telephone_number": "682-885-1860",
"fax_number": "682-885-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W UNIVERSITY DR",
"city": "PROSPER",
"state": "TX",
"postal_code": "750789805",
"telephone_number": "682-303-9869",
"fax_number": "682-303-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TAHNAE",
"middle_name": "T",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "39436",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "39436",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.