KENNETH TREVINO, PH.D., PLLC
NPI 1588203111
Psychologist - Clinical in Dallas, TX

Active since December 30, 2019
12801 N CENTRAL EXPY STE 1730, DALLAS, TX 75243(817) 320-0704(972) 677-7784 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kenneth Trevino, Ph.d., Pllc NPPES

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

KENNETH TREVINO, PH.D., PLLC (NPI 1588203111) is a healthcare organization registered as a clinical in Dallas, Texas and active in the NPI registry since December 2019. The organization lists Kenneth Trevino, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1588203111
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKENNETH TREVINO, PH.D., PLLC
Location Address12801 N CENTRAL EXPY STE 1730Dallas, TX 75243-1872
Mailing Address12801 N Central Expy Ste 1730Dallas, TX 75243-1872 · (817) 320-0704 · Fax (972) 677-7784
Fax(972) 677-7784
Organization SubpartNo
Authorized OfficialKenneth TrevinoOwner/clinical Psychologist · (817) 320-0704
Enumeration DateDecember 30, 2019
NPI 1588203111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12801 N CENTRAL EXPY STE 1730, Dallas, TX 75243

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 7

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

Clinic/Center (Community Health)
12801 N CENTRAL EXPY STE 1730
DALLAS, TX 75243
Clinic/Center (Mental Health (Including Community Mental Health Center))
12801 N CENTRAL EXPY STE 1730
DALLAS, TX 75243
Psychiatry & Neurology (Psychiatry)
12801 N CENTRAL EXPY STE 1730
DALLAS, TX 75243
Psychologist (Clinical)
12801 N CENTRAL EXPY STE 1730
DALLAS, TX 75243
Psychologist (Clinical)
12801 N CENTRAL EXPY STE 1730
DALLAS, TX 75243
Psychologist
12801 N CENTRAL EXPY STE 1730
DALLAS, TX 75243
Psychologist (Clinical)
12801 N CENTRAL EXPY STE 1730
DALLAS, TX 75243

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 Kenneth Trevino, Ph.D., PLLC's NPI number?

The NPI number for Kenneth Trevino, Ph.D., PLLC is 1588203111. It was assigned to this organization in the NPPES registry on December 30, 2019.

Where is Kenneth Trevino, Ph.D., PLLC located?

Kenneth Trevino, Ph.D., PLLC is located at 12801 N Central Expy Ste 1730, Dallas, TX 75243. The listed phone number is (817) 320-0704.

What is Kenneth Trevino, Ph.D., PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Trevino, Ph.D., PLLC was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.