PARK CITIES CHILD AND ADOLESCENT PSYCHOLOGY
NPI 1124414115
Psychologist - Clinical in Dallas, TX
About Park Cities Child And Adolescent Psychology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK CITIES CHILD AND ADOLESCENT PSYCHOLOGY (NPI 1124414115) is a healthcare organization registered as a clinical in Dallas, Texas and active in the NPI registry since April 2015. The organization lists Frederick Collins Hodges, Owner/sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Park Cities Child And Adolescent Psychology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Park Cities Child And Adolescent Psychology, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Park Cities Child And Adolescent Psychology's NPI number?
The NPI number for Park Cities Child And Adolescent Psychology is 1124414115. It was assigned to this organization in the NPPES registry on April 7, 2015.
Where is Park Cities Child And Adolescent Psychology located?
Park Cities Child And Adolescent Psychology is located at 4138 Druid Ln, Dallas, TX 75205. The listed phone number is (214) 606-8141.
What is Park Cities Child And Adolescent Psychology's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Park Cities Child And Adolescent Psychology enrolled in Medicare?
Yes. Park Cities Child And Adolescent Psychology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Cities Child And Adolescent Psychology?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Park Cities Child And Adolescent Psychology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Park Cities Child And Adolescent Psychology was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Park Cities Child And Adolescent Psychology · NPI 1124414115
Clinical organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since April 7, 2015.
## Identity
- **NPI:** 1124414115 (Entity type: Organization)
- **Enumerated:** April 7, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Frederick Hodges, OWNER/SOLE MEMBER
## Practice location
- **Address:** 4138 DRUID LN, Dallas, TX 75205-1143
- **Phone:** (214) 606-8141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124414115) · Data from the CMS NPPES public registry.