Deepika Thankanchan, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP129502 Issued in TX

Practice address

1001 Cross Timbers Rd Ste 1250
Flower Mound, TX 75028-8824

Phone

(214) 488-0121

Fax

(972) 459-2656

NPI assigned

Oct 31, 2015

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collin County Mental Health Mental Retardation CenterGroup PAC ID 9234117342, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: dthankanchan289161@direct.phhs.org

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.

• Collin County Mental Health Mental Retardation Center

  dba LifePath Systems

  • Mental Health Counselor
  • McKinney, TX
  • NPI 1871576835
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1013380963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CROSS TIMBERS RD STE 1250",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750288824",
            "telephone_number": "214-488-0121",
            "fax_number": "972-459-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSS TIMBERS RD STE 1250",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750288824",
            "telephone_number": "214-488-0121",
            "fax_number": "972-459-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANKANCHAN",
        "first_name": "DEEPIKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-31",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Innovative Vascular Care PLLC
• Texas Lung Specialists PLLC
• Texas Star Physicians Alliance LLC
• Texas Talkers Speech Therapy PLLC
• Rachel M Thackerson
• Jolson Korah Tharakan, MD
• The Asperger Shop (Center for Neuroperformance & Counseling)
• The Burnley Clinic
• The Healthy Place LLC
• The Vein Clinic of Dallas LLC

• Psychiatric/Mental Health Nurse Practitioner in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.