Individual provider Active NPI

Jason Farrow Mishalanie, PH.D.

  • Psychologist
  • Dallas, TX
National Provider Identifier
1982889572
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33569 Issued in TX
Practice address
1353 N Westmoreland Rd
Cottage 4
Dallas, TX 75211-1655
Phone
(214) 331-0156
Fax
(214) 333-7073
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33569 TX Primary

Addresses

Primary practice location

1353 N Westmoreland Rd
Cottage 4
Dallas, TX 75211-1655

Mailing address

1353 N Westmoreland Rd
Cottage 4
Dallas, TX 75211-1655
Phone (214) 331-0156

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000072 TX Practitioner - Clinical Psychologist 9739239617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33569TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Neuroscience LLC Psychologist CurrentSince Aug 8, 2025 Accepting new patients
Dallas Sigma Counseling Services, Inc. Psychologist PastSince Jun 2, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1982889572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 N WESTMORELAND RD",
            "address_2": "COTTAGE 4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111655",
            "telephone_number": "214-331-0156",
            "fax_number": "214-333-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N WESTMORELAND RD",
            "address_2": "COTTAGE 4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111655",
            "telephone_number": "214-331-0156",
            "fax_number": "214-333-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHALANIE",
        "first_name": "JASON",
        "middle_name": "FARROW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.