Carla B. Pulliam, PH.D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

31764 Issued in TX

Legal business name

CARLA B. PULLIAM, PH.D., P.C.

Practice address

315 W Wall St
Suite 200
Grapevine, TX 76051-5284

Phone

(817) 251-3507

Fax

(817) 251-3507

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carla Battaglia Pulliam, PH.D.

Title

Owner

Phone

(817) 251-3507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Celia Rosen Sugg, LCSW

  • Clinical Social Worker
  • Grapevine, TX
  • NPI 1235337718
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1982612198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W WALL ST",
            "address_2": "SUITE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515284",
            "telephone_number": "817-251-3507",
            "fax_number": "817-251-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WALL ST",
            "address_2": "SUITE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515284",
            "telephone_number": "817-251-3507",
            "fax_number": "817-251-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA B. PULLIAM, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "BATTAGLIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-251-3507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Atkins Caraway, PT, DPT
• Cardiovascular Consultants of North Texas, LLP
• Care Crew NP Services PLLC
• Mary Lou Carey, RNFA
• Sandra A Carey, NP
• Carla L. Young, M.D., P.a.
• Julia Rose Carlin
• James L Carlisle, MD
• Jennifer Carlson
• Carmen Pemberton PLLC

• Psychologist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.