Unknown Individual – Psychiatry Physician, NPI 1306857222
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
222, North Fredonia Street, Longview, Gregg County, Texas, 75601, United States
SUITE 250
LONGVIEW, TX 756017222
Phone: (903) 291-8300
Fax: (903) 291-8303
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2023-06-30 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($167).
Total Amount
$167
General + Research + Ownership
Payments
4
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $167 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX | |
| Psychiatry, Neuropsychiatry | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | AR | |
| Nurse Practitioner | AR | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Physician Assistant | TX |
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