Psych Health – Psychiatry Physician, NPI 1679719751
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Psych Health
PO BOX 853072
RICHARDSON, TX 750853072
Phone: (903) 783-0864
Fax: (903) 783-1603
Type: Mailing
301 EAST DIVISION STREET
GREENVILLE, TX 754024199
Phone: (903) 454-6000
Type: Location
2026 W University Dr
Denton, TX 762010644
Phone: (214) 223-9235
Fax: (817) 730-9080
Type: Location
PO BOX 561136
THE COLONY, TX 750566136
Phone: (214) 223-9235
Fax: (817) 730-9080
Type: Mailing
7808 CLODUS FIELDS DR
DALLAS, TX 752512206
Phone: (214) 223-9235
Fax: (817) 730-9080
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: 2012-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (220 days ago).
Enrollment records
1
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20120905000206 | O | Clinic/Group Practice | TX | 2025-10-31 |
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 75085)
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