DR. CARISSA COLLINS (NPI# 1588090237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588090237 |
| Entity Type | Individual |
| Full Name | DR. CARISSA COLLINS |
| Other Name | DR. CARISSA SCOTT |
| Credential | PH.D. |
| Practice Address |
4237 Bryn Mawr Dr Dallas TX 75225-6739 |
| Mailing Address |
6125 Luther Ln # 328 Dallas TX 75225-6202 |
| Practice Telephone | 8177797220 |
| Mailing Telephone | 8177972200 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
36756 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSED PSYCHOLOGIST | 36756 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578862918 | Carissa Jane Collins | Specialist | 2035 Saint John Ave, Dyersburg, TN 38024-2209 | 2011-03-24 |
| Street Address |
4237 BRYN MAWR DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75225-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514615 | Collins Psychotherapy, Pllc | Psychologist | 4237 Bryn Mawr Dr, Dallas, TX 75225-6739 | 2020-06-29 |
| 1437639523 | Richard William Collins, Psyd, Pllc | Psychologist | 4237 Bryn Mawr Dr, Dallas, TX 75225-6739 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1659872224 | Brandy Morgan | Specialist/Technologist | 8100 Lomo Alto Drive, 200, Dallas, TX 75225 | 2018-02-28 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1508304627 | Paula Miltenberger, Ph.d., Pa | Psychologist | 5949 Sherry Lane, Suite 752, Dallas, TX 75225 | 2017-02-09 |
| 1194184564 | Monitoring Concepts Iom Group | Specialist/Technologist, Other | 4536 Lovers Lane, Ste 410, Dallas, TX 75225 | 2016-02-15 |
| 1285017343 | Leilani So Wiltz | Pediatrics | 3 Abbotsford Court, Dallas, TX 75225 | 2015-07-07 |
| 1932599511 | Anthony Ramos | Chiropractor | 6211 W. Northwest Hwy, Suite C-159, Dallas, TX 75225 | 2015-02-03 |
| 1750635405 | Edith R Fekete | Psychiatry & Neurology | 6335 W. Northwest Hwy. Apt. 1918, Dallas, TX 75225 | 2012-11-02 |
| 1982998019 | Child and Family Assessment Center, Pllc | Psychologist | 8117 Preston Rd., Ste. 300, Dallas, TX 75225 | 2011-06-06 |
| 1184950420 | Mwh Chiropractic | Chiropractor | 6170 Sherry Lane, Suite 300, Dallas, TX 75225 | 2009-10-21 |
| Find all providers in zip 75225 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 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 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1801430483 | Yaffa Podbilewicz-schuller | Psychologist | 6618 Elvedon Dr, Dallas, TX 75248-1324 | 2019-11-06 |
| 1578111993 | Anne Caroline Brasch | Psychologist | 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 | 2019-08-28 |
| 1215497672 | Tiffany Armstrong | Psychologist | 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 | 2019-03-21 |
| 1275001208 | Bryan Elliott Jester | Psychologist | 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 | 2018-11-07 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| Find all providers in DALLAS | ||||
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| 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.