Park Cities Child and Adolescent Psychology
NPI 1124414115ActiveOrganization· Psychologist, Clinical· Dallas, TX
Psychologist, Clinical in Dallas, Texas, registered in NPPES in April 2015. The authorized official on file is Frederick Collins Hodges, PSY. D., Owner/Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124414115 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2015 |
| Last updated in NPPES | Nov 30, 2023 |
| Certified by provider | Nov 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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