Earthman Psychiatry & Addiction Medicine – Psychiatry Physician, NPI 1053545335
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Earthman Psychiatry & Addiction Medicine
22 PRESTIGE CIRCLE
SUITE 300
ALLEN, TX 75002
Phone: (214) 383-3200
Fax: (214) 383-3211
Type: Mailing
550 Westcott St Ste 520
Houston, TX 770079001
Phone: (713) 864-6694
Type: Location
1901 Medi Park Dr
Amarillo, TX 791062110
Phone: (806) 354-9540
Type: Location
11901 W Parmer Ln
Cedar Park, TX 786137651
Phone: (512) 528-9498
Type: Location
1604 Hospital Pkwy Ste 507
Bedford, TX 760226933
Phone: (817) 354-7268
Type: Location
7777 Forest Ln Ste 833
Dallas, TX 752302571
Phone: (972) 566-4591
Type: Location
22 PRESTIGE CIR STE 200
ALLEN, TX 750023419
Phone: (214) 383-3200
Fax: (214) 383-3211
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2009-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090729000536 | O | Clinic/Group Practice | TX | TBD |
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.
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 75002)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.