DAVENPORT DIAGNOSTIC AND TREATMENT CENTER, INC
NPI 1255578191
Clinical Neuropsychologist in Addison, TX

Active since January 14, 2009
14275 MIDWAY RD, SUITE 220, ADDISON, TX 75001(972) 850-0720 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davenport Diagnostic And Treatment Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVENPORT DIAGNOSTIC AND TREATMENT CENTER, INC (NPI 1255578191) is a healthcare organization registered as a clinical neuropsychologist in Addison, Texas and active in the NPI registry since January 2009. The organization lists Kimberly C Johnson, Psycologist, as its authorized official.

NPPES Registry Identity

NPI1255578191
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameDAVENPORT DIAGNOSTIC AND TREATMENT CENTER, INC
Location Address14275 MIDWAY RD, SUITE 220Addison, TX 75001-3614
Mailing Address14275 Midway Rd, Suite 220Addison, TX 75001-3614 · (972) 850-0720
Organization SubpartNo
Authorized OfficialKimberly C JohnsonPsycologist · (972) 850-0720
Enumeration DateJanuary 14, 2009
NPI 1255578191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in TX · 32578
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 32698 (TX)
14275 MIDWAY RD, Addison, TX 75001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
14275 MIDWAY RD, SUITE 400
ADDISON, TX 75001
Counselor (Mental Health)
14275 MIDWAY RD
ADDISON, TX 75001
Hospice Care, Community Based
14275 MIDWAY RD, # 220
ADDISON, TX 75001
Family Medicine
14275 MIDWAY RD, SUITE 220
ADDISON, TX 75001

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 Davenport Diagnostic And Treatment Center, Inc's NPI number?

The NPI number for Davenport Diagnostic And Treatment Center, Inc is 1255578191. It was assigned to this organization in the NPPES registry on January 14, 2009.

Where is Davenport Diagnostic And Treatment Center, Inc located?

Davenport Diagnostic And Treatment Center, Inc is located at 14275 Midway Rd Suite 220, Addison, TX 75001. The listed phone number is (972) 850-0720.

What is Davenport Diagnostic And Treatment Center, Inc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Davenport Diagnostic And Treatment Center, Inc was last updated on January 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.