H. E. B. BEHAVIORAL MEDICINE, P. C. – Clinical Psychologist, NPI 1114966074
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for H. E. B. BEHAVIORAL MEDICINE, P. C.
625 W RAILROAD AVE
#408
SHELTON, WA 985843522
Phone: (682) 553-8027
Fax: (817) 571-9879
Type: Mailing
12701 BEECH TREE LN
EULESS, TX 760403427
Phone: (682) 553-8027
Fax: (817) 571-9879
Type: Mailing
305, Miron Drive, Southlake, Tarrant County, Texas, 76092, United States
SOUTHLAKE, TX 760927831
Phone: (817) 571-2899
Fax: (817) 571-9879
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2005-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (84 days away).
Enrollment records
1
Earliest due date
2026-08-31
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 |
|---|---|---|---|---|
| O20050322000296 | O | Clinic/Group Practice | TX | 2026-08-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 98584)
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