Urgent Psych Rx – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1679021042
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Urgent Psych Rx
990 287 HWY N
106-264
MANSFIELD, TX 76063
Phone: (469) 626-8195
Fax: (877) 705-7282
Type: Mailing
1420 VALWOOD PARKWAY
170A
CARROLLTON, TX 75006
Phone: (214) 561-1884
Fax: (877) 705-7282
Type: Location
750 E US HIGHWAY 80 STE 200-612
FORNEY, TX 751268722
Phone: (469) 626-8195
Type: Mailing
2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX 750513852
Phone: (469) 626-8195
Fax: (469) 857-8492
Type: Location
6801 McCart Ave Ste 109
Fort Worth, TX 761336378
Phone: (469) 626-8195
Type: Location
13988 DIPLOMAT DR STE 100
FARMERS BRANCH, TX 752348831
Phone: (469) 626-8195
Fax: (469) 857-8492
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: 2017-11-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| O20171127001367 | O | Clinic/Group Practice | TX | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 76063)
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