ANDREA WAHLBERG PH.D.
NPI 1639522253
Clinical Neuropsychologist in Plano, TX
About Andrea Wahlberg Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA WAHLBERG PH.D. (NPI 1639522253) is an individual clinical neuropsychologist in Plano, Texas, licensed in Texas (37231) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrea Wahlberg Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrea Wahlberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 157 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrea Wahlberg's NPI number?
The NPI number for Andrea Wahlberg is 1639522253. It was assigned to this individual provider in the NPPES registry on July 19, 2016.
Where is Andrea Wahlberg located?
Andrea Wahlberg practices at 7601 Preston Rd Suite P4300, Plano, TX 75024. The listed phone number is (469) 303-4090.
What is Andrea Wahlberg's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Andrea Wahlberg enrolled in Medicare?
Yes. Andrea Wahlberg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrea Wahlberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Wahlberg reassigns Medicare benefits to Children's Health System Of Texas (Dallas, TX). The 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 Andrea Wahlberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Wahlberg was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Andrea Wahlberg, PH.D. · NPI 1639522253
Clinical Neuropsychologist provider in Plano, Texas. Individual provider, active in the CMS NPPES registry since July 19, 2016.
## Identity
- **NPI:** 1639522253 (Entity type: Individual)
- **Enumerated:** July 19, 2016
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 37231 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7601 PRESTON RD, SUITE P4300, Plano, TX 75024-3214
- **Phone:** (469) 303-4090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Children's Health System Of Texas (NPI 1194743013, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1639522253) · Data from the CMS NPPES public registry.