Geode Health 2 – Psychiatry Physician, NPI 1790482834
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Geode Health 2
7500 Rialto Blvd Ste 1-250
Austin, TX 787358556
Phone: (512) 354-4932
Fax: (844) 749-3718
Type: Location
13701 Woodway Dr Ste 624
Woodway, TX 767123150
Phone: (254) 343-5002
Fax: (844) 689-9292
Type: Location
1603 Medical Pkwy Ste 230
Cedar Park, TX 786137904
Phone: (512) 216-2464
Type: Location
1708 Coit Rd Ste 210
Plano, TX 750755025
Phone: (469) 361-2743
Type: Location
3009 E Renner Rd
Richardson, TX 750823571
Phone: (469) 808-1690
Fax: (833) 760-4113
Type: Location
1400 N Coit Rd
McKinney, TX 750716655
Phone: (469) 638-8881
Type: Location
511 University Dr E
College Station, TX 778405902
Phone: (979) 725-6404
Fax: (844) 689-5600
Type: Location
3140 Legacy Dr Ste 130
Frisco, TX 750347919
Phone: (888) 902-1704
Type: Location
1211 W 22ND ST STE 406
OAK BROOK, IL 605232169
Phone: (630) 912-4241
Type: Mailing
610 S WATTERS RD STE 130
ALLEN, TX 750135008
Phone: (469) 854-3263
Type: Location
7200 Wyoming Springs Dr Ste 1600
Round Rock, TX 786814307
Phone: (512) 588-1439
Type: Location
1880 N Stonebridge Dr Ste 230
McKinney, TX 750717562
Phone: (972) 954-5547
Fax: (833) 651-2536
Type: Location
5353 Williams Dr Ste 105
Georgetown, TX 786332045
Phone: (512) 882-2889
Type: Location
610 Uptown Blvd Ste 2000
Cedar Hill, TX 751043528
Phone: (214) 295-8141
Fax: (844) 689-6727
Type: Location
1701 River Run Ste 1118
Fort Worth, TX 761076557
Phone: (817) 865-3954
Type: Location
4119 Montrose Blvd Ste 230
Houston, TX 770064964
Phone: (281) 990-1506
Type: Location
777 International Pkwy Ste 260
Flower Mound, TX 750225303
Phone: (972) 221-7900
Fax: (972) 221-7901
Type: Location
12603 Southwest Fwy Ste 510
Stafford, TX 774773818
Phone: (281) 494-4471
Type: Location
13701 Woodway Dr Fl 2
Woodway, TX 767123146
Phone: (254) 343-5002
Fax: (844) 689-9292
Type: Location
7000 Bee Caves Rd Ste 325
Austin, TX 787465009
Phone: (512) 684-9909
Type: Location
5899 Preston Rd Ste 902
Frisco, TX 750349593
Phone: (469) 353-2893
Type: Location
950 E State Highway 114 Ste 160
Southlake, TX 760925261
Phone: (888) 902-1704
Type: Location
800 Crystal Falls Pkwy Bldg 9
Leander, TX 786413666
Phone: (512) 614-7009
Type: Location
5899 Preston Rd Ste 901
Frisco, TX 750349593
Phone: (469) 353-2893
Type: Location
768 Bandit Trl
Keller, TX 762480182
Phone: (817) 865-3954
Type: Location
201 N Heatherwilde Blvd Ste 304
Pflugerville, TX 786606448
Phone: (888) 902-1704
Type: Location
1015 N Carroll Ave Ste 104
Dallas, TX 752046607
Phone: (469) 442-3434
Fax: (844) 689-2549
Type: Location
2401 Callender Rd Ste 105
Mansfield, TX 760638869
Phone: (817) 382-6797
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: 2025-09-29
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 |
|---|---|---|---|---|
| O20250929001384 | 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 78735)
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