NGWG PSYCHOLOGICAL SERVICES, PLLC (NPI# 1639632920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639632920 |
| Entity Type | Organization |
| Organization Name | NGWG PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
14665 Midway Rd Ste 110 Addison TX 75001-3185 |
| Practice Telephone | 9723829992 |
| Mailing Telephone | 9723829992 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | HUNTER JOCHEM (CEO) |
| Authorized Official Telephone | 9723829992 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEXTGEN WELLNESS GROUP INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
14665 MIDWAY RD STE 110 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-3185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285844837 | Charles E. Ortega | Physician Assistant | 14665 Midway Rd Ste 110, Addison, TX 75001-3185 | 2007-05-23 |
| 1669012852 | Derrick Javier Belan | Physical Therapist | 14665 Midway Rd Ste 110, Addison, TX 75001-3185 | 2020-01-15 |
| 1831652122 | Hunter Physical Therapy, Pllc | Family Medicine | 14665 Midway Rd Ste 110, Addison, TX 75001-3185 | 2019-04-12 |
| 1831667385 | John Paul Sorrels | Psychologist | 14665 Midway Rd Ste 110, Addison, TX 75001-3185 | 2018-11-02 |
| 1568972966 | Celeste A Clarke | Chiropractor | 14665 Midway Rd Ste 110, Addison, TX 75001-3185 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| 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 |
|---|---|---|---|---|
| 1427207901 | Trish Borman Phd Pllc | Psychologist | 14679 Midway Rd Ste 224, Ste 306 #277, Addison, TX 75001-3927 | 2008-09-09 |
| 1962618512 | Marilyn J Monteiro | Psychologist | 14673 Midway Rd Ste 215, Addison, TX 75001-3912 | 2007-05-14 |
| 1437767639 | Amanda Proctor | Psychologist | 14275 Midway Rd Ste 260, Addison, TX 75001-3613 | 2020-07-14 |
| 1770108284 | Roger Ryan Giovino | Psychologist | 14275 Midway Rd Ste 260, Addison, TX 75001-3613 | 2020-06-10 |
| 1033732086 | Gabrielle Weierbach | Psychologist | 14275 Midway Rd Ste 260, Addison, TX 75001-3613 | 2020-05-26 |
| 1891281275 | Jantel Jordan | Psychologist | 14275 Midway Rd Ste 260, Addison, TX 75001-3613 | 2018-07-09 |
| 1699289769 | Ashton Steele | Psychologist | 16160 Midway Rd Ste 218, Addison, TX 75001-4202 | 2017-11-27 |
| 1578083655 | Chelsea E Fiduccia | Psychologist | 16160 Midway Rd Ste 218, Addison, TX 75001-4202 | 2017-06-21 |
| 1891249298 | Deborah Galindo | Psychologist | 14673 Midway Rd, 213, Addison, TX 75001-3171 | 2016-08-15 |
| 1497105266 | Nicole Fisher | Psychologist | 14275 Midway Rd Ste 260, Addison, TX 75001-3613 | 2016-06-13 |
| Find all providers in ADDISON | ||||
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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.