DR. JAN KATHLEEN RIDER (NPI# 1134306384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134306384 |
| Entity Type | Individual |
| Full Name | DR. JAN KATHLEEN RIDER |
| Credential | PH.D. |
| Practice Address |
12830 Hillcrest Rd Suite D218 Dallas TX 75230-1527 |
| Practice Telephone | 4697919100 |
| Practice Fax Number | 4697919200 |
| Mailing Telephone | 4697919100 |
| Mailing Fax Number | 4697919200 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 25119 | TX | Behavioral Health & Social Service Providers |
| Street Address |
12830 HILLCREST RD SUITE D218 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799001 | John L Hollingsworth Jr. | Internal Medicine | 12830 Hillcrest Rd, Suite D-216, Dallas, TX 75230-1527 | 2005-09-02 |
| 1477924629 | Lokahi Life Center Pllc | Psychologist | 12830 Hillcrest Rd, Suite D 235, Dallas, TX 75230-1527 | 2015-10-14 |
| 1083966998 | Best Sitters of Dfw | In Home Supportive Care | 12830 Hillcrest Rd, Suite D111, Dallas, TX 75230-1527 | 2012-10-03 |
| 1912262585 | Lisa Bazil | Psychologist | 12830 Hillcrest Rd, Suite D218, Dallas, TX 75230-1527 | 2012-07-10 |
| 1689933723 | Kimberly Reynolds | Massage Therapist | 12830 Hillcrest Rd, Ste D226, Dallas, TX 75230-1527 | 2012-05-10 |
| 1114200318 | Paul Woodruff Bowles | Counselor | 12830 Hillcrest Rd, Suite 111, Dallas, TX 75230-1527 | 2011-09-23 |
| 1194041301 | Jason S Berman, Phd, Pllc | Psychologist | 12830 Hillcrest Rd, Suite 111, Dallas, TX 75230-1527 | 2010-04-13 |
| 1427294115 | Jason S Berman | Psychologist | 12830 Hillcrest Rd, Suite D-111, Dallas, TX 75230-1527 | 2008-12-30 |
| 1720298177 | Mollie Deborah Killough | Counselor | 12830 Hillcrest Rd, Suite 221, Dallas, TX 75230-1527 | 2007-05-23 |
| 1932220209 | Laura Morgan Morgan-johnson | Counselor | 12830 Hillcrest Rd, Suite 221, Dallas, TX 75230-1527 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
| 1306483136 | Laura Oei | Psychologist | 17000 Dallas Pkwy Ste 219, Dallas, TX 75248-1943 | 2019-11-27 |
| 1356907695 | Mc Medical LLC | Psychologist | 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 | 2019-05-13 |
| 1821550500 | Vanguard Center for Neurological Health | Psychologist | 4240 Sigma Rd, Dallas, TX 75244-4414 | 2019-04-02 |
| 1558831933 | Kipp Ryan Pietrantonio | Psychologist | 6363 Forest Park Rd, 7th Floor, Ste. 749, Dallas, TX 75390-9121 | 2018-11-28 |
| 1154896850 | Evan Bodine | Psychologist | 8140 Walnut Hill Ln Ste 440, Dallas, TX 75231-4328 | 2018-10-09 |
| 1235612284 | Kimberly Mccain | Psychologist | 17440 Dallas Pkwy Ste 132, Dallas, TX 75287-7367 | 2018-09-14 |
| 1528557477 | Frances E. Dawson | Psychologist | 2920 Mcfarlin Blvd, Dallas, TX 75205-1920 | 2018-05-07 |
| 1558866384 | Lindsy Magee | Psychologist | 8150 N Central Expy Ste M-1065, Dallas, TX 75206-1815 | 2018-03-25 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DR. JAN KATHLEEN RIDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.