DR. CHARLES E JR. HERLIHY (MD) – Psychiatry Physician, NPI 1992788491

DR. CHARLES E JR. HERLIHY (MD) is a healthcare provider. based in Southlake, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 00008022 (AL). The NPI Number for DR. CHARLES E JR. HERLIHY (MD) is 1992788491

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES E JR. HERLIHY (MD)
NPI
1992788491
Phone
(817) 442-0200
Address
530 SILICON DR
Enumeration Date
29 November 2005
Last Update Date
21 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2145908000
Graduation Year
1976 (50 years ago)
PAC ID
4587609102
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20060428000520
Address ID
TX752357709DA5200XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

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Provider Addresses for DR. CHARLES E JR. HERLIHY (MD)

  • 530, Silicon Drive, Southlake, Tarrant County, Texas, 76092, United States

    SUITE 103

    SOUTHLAKE, TX 760929017

    Phone: (817) 442-0200

    Fax: (817) 442-0204

    Type: Mailing

  • 104 SYCAMORE CT

    GRAPEVINE, TX 760518259

    Phone: (251) 490-7527

    Fax: (817) 442-0204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060428000520IPsychiatryTXTBD
I20100414000210IPsychiatryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6014$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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Provider's Procedures

DR. CHARLES E JR. HERLIHY (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYTX90833Psychotherapy, 30 minutes with patient and/or family member13524

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648188250View full group profile
NameSpecialtyState
-TX
Diagnostic RadiologyTX
Anesthesiology, Pain ManagementFL
-TX
Internal MedicineTX
-TX
U R O L O G YTX
-TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. CHARLES E JR. HERLIHY (MD)?
NPI 1992788491 is assigned to DR. CHARLES E JR. HERLIHY (MD) under the national enumeration system.
Does this profile mean DR. CHARLES E JR. HERLIHY (MD) is currently active?
Yes — DR. CHARLES E JR. HERLIHY (MD) appears active in the national provider directory.
Does DR. CHARLES E JR. HERLIHY (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. CHARLES E JR. HERLIHY (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CHARLES E JR. HERLIHY (MD)?
The snapshot lists Southlake, Texas for DR. CHARLES E JR. HERLIHY (MD); download NPPES for the complete set.
How can I contact DR. CHARLES E JR. HERLIHY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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