Individual provider Active NPI

Grace Abigail Blyth, PH.D., LSP, P-LP

  • Psychologist
  • Dallas, TX
National Provider Identifier
1982511564
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
41339 Issued in TX
Practice address
6001 Summerside Dr Ste 102
Dallas, TX 75252-5334
Phone
(972) 985-1100
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 41339 TX Primary

Addresses

Primary practice location

6001 Summerside Dr Ste 102
Dallas, TX 75252-5334

Mailing address

6001 Summerside Dr Ste 102
Dallas, TX 75252-5334
Phone (352) 519-6571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1982511564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SUMMERSIDE DR STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525334",
            "telephone_number": "352-519-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SUMMERSIDE DR STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525334",
            "telephone_number": "972-985-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTH",
        "first_name": "GRACE",
        "middle_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "PH.D., LSP, P-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "41339",
            "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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.