Individual provider Active NPI

Ralph Hemerson De Similien, M.D.

  • Psychiatry Physician
  • Whitehouse, TX
National Provider Identifier
1013355676
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S3965 Issued in TX
Practice address
705 Memory LN
Whitehouse, TX 75791-3692
Phone
(281) 901-0940
Fax
(877) 910-0729
NPI assigned
Jun 5, 2013
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X S3965 TX Primary

Addresses

Primary practice location

705 Memory LN
Whitehouse, TX 75791-3692

Mailing address

740 Mix Ave Unit 407
Hamden, CT 06514-2287
Phone (281) 901-0940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001820 TX Practitioner - Psychiatry 9335414010 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Feb 2, 2020 Accepting new patients
Andrews Center -Pinkerton CurrentSince Oct 13, 2020 Accepting new patients
Bhiinco Better Health Integrated Initiatives LLC Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Feb 2, 2020 Accepting new patients
Andrews Center Psychiatry Current Accepting new patients
Andrew Center -Adt MH CurrentSince Oct 13, 2020 Accepting new patients
Mind-Aid Behavioral Health CurrentSince Sep 1, 2025 Accepting new patients

Locations

5900 Balcones Dr
#25850
Austin, TX 78731
Phone (817) 385-9359

2304 Oak Ln
Ste 220
Grand Prairie, TX 75051
Phone (817) 385-9359

703 W Patten St
Mineola, TX 75773
Phone (903) 569-5409

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

1722 W Front St
Tyler, TX 75702
Phone (903) 593-4004

2323 W Front St
Tyler, TX 75702
Phone (903) 535-7355

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1013355676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MIX AVE UNIT 407",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142287",
            "telephone_number": "281-901-0940",
            "fax_number": "877-910-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MEMORY LN",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913692",
            "telephone_number": "281-901-0940",
            "fax_number": "877-910-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SIMILIEN",
        "first_name": "RALPH",
        "middle_name": "HEMERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S3965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, TX

Sources for this page

Verify at the official NPI Registry.