Organization Active NPI

Child and Family Assessment Center, PLLC

  • Clinical Child & Adolescent Psychologist
  • Dallas, TX
National Provider Identifier
1982998019
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
32241 Issued in TX
Legal business name
CHILD AND FAMILY ASSESSMENT CENTER, PLLC
Practice address
8117 Preston Rd.
Ste. 300
Dallas, TX 75225
Phone
(214) 991-7572
NPI assigned
Jun 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Greta Lynn Kerwin, PSY.D.
Title
Owner
Phone
(214) 991-7572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 32241 TX Primary

Addresses

Primary practice location

8117 Preston Rd.
Ste. 300
Dallas, TX 75225

Mailing address

8117 Preston Rd.
Ste. 300
Dallas, TX 75225
Phone (214) 991-7572

National Provider Directory

National Provider Directory

Locations

10300 N Central Expy
Ste 335
Dallas, TX 75231
Phone (214) 265-6051

10300 N Central Expy
Dallas, TX 75231
Phone (214) 265-6501

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": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1982998019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 PRESTON RD.",
            "address_2": "STE. 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75225",
            "telephone_number": "214-991-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 PRESTON RD.",
            "address_2": "STE. 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75225",
            "telephone_number": "214-991-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY ASSESSMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "KERWIN",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-991-7572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "32241",
            "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 Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.