MODERN PSYCHIATRY, PA – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1225725690
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MODERN PSYCHIATRY, PA
24721 Tomball Parkway
Tomball, TX 77375
Phone: (346) 336-2265
Type: Location
109 W Minnesota Park Rd # 9B4
Hammond, LA 704036130
Phone: (985) 277-1043
Type: Location
4932 Dominion Blvd
Glen Allen, VA 230606714
Phone: (804) 548-4863
Type: Location
124 N Trade St Ste K
Seven Lakes, NC 273769361
Phone: (910) 661-3785
Type: Location
4229 Bardstown Rd Ste 316
Louisville, KY 402183287
Phone: (732) 831-6094
Type: Location
23 Woodhaven Rd
Toms River, NJ 087532043
Phone: (732) 831-6094
Type: Location
81 Big Oak Rd Ste 102
Morrisville, PA 190677801
Phone: (732) 831-6094
Type: Location
501 Krebs Ave Ste C
Pascagoula, MS 395673123
Phone: (228) 549-1019
Type: Location
23 WOODHAVEN RD
TOMS RIVER, NJ 087532043
Phone:
Type: Mailing
365 WEKIVA SPRINGS RD STE 231
LONGWOOD, FL 327793690
Phone: (845) 366-6115
Type: Location
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: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| O20230803002270 | O | Clinic/Group Practice | FL | TBD |
| O20230821000992 | O | Clinic/Group Practice | LA | TBD |
| O20230919000326 | O | Clinic/Group Practice | NC | TBD |
| O20231011002317 | O | Clinic/Group Practice | TX | TBD |
| O20231204003065 | O | Clinic/Group Practice | MS | TBD |
| O20250115002131 | O | Clinic/Group Practice | KY | TBD |
| O20250221000312 | O | Clinic/Group Practice | PA | TBD |
| O20250723003691 | O | Clinic/Group Practice | VA | TBD |
| O20260114004263 | O | Clinic/Group Practice | MD | TBD |
| O20260302001361 | O | Clinic/Group Practice | AL | 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 77375)
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Reviews
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