CLEAR FORK PSYCHOLOGY SERVICES, PLLC (NPI# 1275021560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275021560 |
| Entity Type | Organization |
| Organization Name | CLEAR FORK PSYCHOLOGY SERVICES, PLLC |
| Practice Address |
4971 E Interstate 20 Service Rd N Willow Park TX 76087-3220 |
| Practice Telephone | 8176948916 |
| Practice Fax Number | 6822245724 |
| Mailing Telephone | 8176948916 |
| Mailing Fax Number | 6822245724 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | DR. RUSSELL WOOD (OWNER) |
| Authorized Official Telephone | 8176948916 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
4971 E INTERSTATE 20 SERVICE RD N |
| City | WILLOW PARK |
| State | TX |
| Zip Code | 76087-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296194 | Arthur H Smith-vaughan | Psychologist | 4971 E Interstate 20 Service Rd N, Clear Fork Psychology, Willow Park, TX 76087-3220 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264844 | Archstone Dental - Aledo Pllc | Dentist | 103 Willow Bend Drive, Ste 100, Willow Park, TX 76087 | 2020-04-24 |
| 1265072680 | Thrive Behavior Centers LLC | Behavioral Analyst | 161 Jd Towles Dr, Willow Park, TX 76087 | 2020-01-14 |
| 1467004192 | Dentists of Hudson Oaks and Orthodontics, PC | Dentist | 100 Hudson Oaks Drive, Suite 126, Hudson Oaks, TX 76087 | 2019-07-12 |
| 1184180846 | James E Sorensen | Chiropractor | 5177 Interstate-20 Frontage Rd., Suite 122, Willow Park, TX 76087 | 2019-02-18 |
| 1194298380 | H-e-b, Lp | Clinical Medical Laboratory | 100 Hudson Oaks Dr., Hudson Oaks, TX 76087 | 2019-01-10 |
| 1952886053 | Shannon Grace Howard | Speech-Language Pathologist | 300 Crown Pointe Blvd, Willow Park, Willow Park, TX 76087 | 2018-09-25 |
| 1831604073 | Tom Annunziato, Od PC | Optometrist | 225 Shops Blvd, Suite 102, Willow Park, TX 76087 | 2017-12-11 |
| 1457873309 | Julia Diane Sims | Music Therapist | 107 Manor Ct. N., Willow Park, TX 76087 | 2017-07-12 |
| 1255851770 | Zee Smile Dental Inc | Clinic/Center | 5189 E Interstate 20 Service Rd S, 102, Willow Park, TX 76087 | 2017-06-26 |
| 1336675743 | Diana Hamilton | Psychologist | 4971 East Interstate Service Road North, Willow Park, TX 76087 | 2017-05-04 |
| Find all providers in zip 76087 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598131807 | Russell Wood | Psychologist | 4971 East I-20 Service Road North, Suite 403, Willow Park, TX 76087 | 2015-08-20 |
| 1083797443 | Senior Mental Health Solutions, Lp | Psychologist | 109 Manor Court North, Willow Park, TX 76087-3002 | 2006-10-21 |
| 1780296194 | Arthur H Smith-vaughan | Psychologist | 4971 E Interstate 20 Service Rd N, Clear Fork Psychology, Willow Park, TX 76087-3220 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1588263339 | Uttam Psychological Services Pllc | Psychologist | 16711 Cedar Yard Ln, Cypress, TX 77433-5250 | 2020-10-22 |
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1639776412 | Nausheen Noor | Psychologist | 3707 Springhill Ln, Sugar Land, TX 77479-2293 | 2020-10-05 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1770194862 | Nichole Barbara Vincent | Psychologist | 829 Sunnyvale Pl, Uvalde, TX 78801-4078 | 2020-08-12 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1821615733 | The Clinic Neuropsychological & Psychological Services, Pllc | Psychologist | 101 Uhland Rd Ste 205, San Marcos, TX 78666-6681 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW PARK |
| Zip Code | 76087 |
Please comment or provide details below to improve the information on CLEAR FORK PSYCHOLOGY SERVICES, PLLC.
| 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.