Organization Active NPI

Smart Neuro Health & Wellness Professionals Texas PA

  • Psychiatry Physician
  • Plano, TX
National Provider Identifier
1013377324
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SMART NEURO HEALTH & WELLNESS PROFESSIONALS TEXAS PA
Practice address
6839 Communications Pkwy
Plano, TX 75024-5991
Phone
(469) 225-0245
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Dianne Medford
Title
Billing Director
Phone
(972) 733-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6839 Communications Pkwy
Plano, TX 75024-5991

Mailing address

3308 Preston Rd
Plano, TX 75093-7453

Other practice location 1

3308 Preston Rd
272
Plano, TX 75093-7453
Phone (469) 444-3950

National Provider Directory

National Provider Directory
Tax ID family
Smart Neuro Health Wellness Professionals Texas PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3308 Preston Rd
Plano, TX 75093

3308 Preston Rd
#272
Plano, TX 75093
Phone (469) 444-3950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1013377324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245991",
            "telephone_number": "469-225-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Preston Rd",
            "address_2": "272",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937453",
            "country_code": "US",
            "telephone_number": "469-444-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMART NEURO HEALTH & WELLNESS PROFESSIONALS TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "MEDFORD",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "972-733-3375"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.