Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SELF REIMAGINED MENTAL WELLNESS
NPI 1699674473
Psychologist in Richardson, TX

Active since November 05, 2026
101 W RENNER RD STE 165, RICHARDSON, TX 75082(469) 505-1497 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Self Reimagined Mental Wellness NPPES

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

SELF REIMAGINED MENTAL WELLNESS (NPI 1699674473) is a healthcare organization registered as a psychologist in Richardson, Texas and active in the NPI registry since November 2026. The organization lists Lisa Thoman, Owner, as its authorized official.

NPPES Registry Identity

NPI1699674473
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSELF REIMAGINED MENTAL WELLNESS
Location Address101 W RENNER RD STE 165Richardson, TX 75082-2022
Mailing Address101 W Renner Rd Ste 165Richardson, TX 75082-2022 · (469) 505-1497
Organization SubpartNo
Authorized OfficialLisa ThomanOwner · (469) 505-1497
Enumeration DateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1699674473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
101 W RENNER RD STE 165, Richardson, TX 75082

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Psychologist
101 W RENNER RD STE 165
RICHARDSON, TX 75082
Psychologist (Clinical)
101 W RENNER RD STE 165
RICHARDSON, TX 75082

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 Self Reimagined Mental Wellness's NPI number?

The NPI number for Self Reimagined Mental Wellness is 1699674473. It was assigned to this organization in the NPPES registry on November 5, 2026.

Where is Self Reimagined Mental Wellness located?

Self Reimagined Mental Wellness is located at 101 W Renner Rd Ste 165, Richardson, TX 75082. The listed phone number is (469) 505-1497.

What is Self Reimagined Mental Wellness's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Self Reimagined Mental Wellness was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.