Provider Demographics
NPI:1720202492
Name:JAMES T. ROCKWOOD, THM, PHD, P.C.
Entity Type:Organization
Organization Name:JAMES T. ROCKWOOD, THM, PHD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-599-0850
Mailing Address - Street 1:918 SPRING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2303
Mailing Address - Country:US
Mailing Address - Phone:972-599-0850
Mailing Address - Fax:972-220-0042
Practice Address - Street 1:2828 W PARKER RD
Practice Address - Street 2:SUITE 208
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-9153
Practice Address - Country:US
Practice Address - Phone:972-599-0850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98983101Y00000X
TX3477101YM0800X
TX732106H00000X
TXMT024480175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty