THE ZIGGURAT GROUP PA NPI 1295928190

NPI Information

NPI: 1295928190
Provider Name: THE ZIGGURAT GROUP, PA

Former Legal Business Name: ZIGGURAT GROUP

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
17430 CAMPBELL RD STE 112
DALLAS, TX
ZIP 75252
Phone: (214) 227-7741
Get Directions

THE ZIGGURAT GROUP, PA is a mental health (including community mental health center) clinic center in Dallas, TX. THE ZIGGURAT GROUP, PA NPI is 1295928190. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Ziggurat Group.

The provider's business location address is:

17430 CAMPBELL RD STE 112
DALLAS, TX
ZIP 75252-297
Phone: (214) 227-7741
Fax: (214) 432-0494

The provider's authorized official is Barry Glenn Grossman .
The authorized official title is Licensed Psychologist and has the following contact phone number (214) 227-7741.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 4/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist				No
2	103TC0700X	Psychologist	Clinical			No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	32169	TEXAS	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	25039	TEXAS	No
5	103TC2200X	Psychologist	Clinical Child & Adolescent	30822	TEXAS	No
6	225X00000X	Occupational Therapist		109716	TEXAS	No
7	225X00000X	Occupational Therapist		106089	TEXAS	No
8	235Z00000X	Speech-Language Pathologist		100328	TEXAS	No
9	235Z00000X	Speech-Language Pathologist		17458	TEXAS	No
10	247200000X	Technician, Other		0536	TEXAS	No
11	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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