Individual provider Active NPI

Pushpa N Chauhan, PSY D

  • Psychologist
  • Garland, TX
National Provider Identifier
1013901727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
30862 Issued in TX
Practice address
3960 Broadway Blvd
Suite 135
Garland, TX 75043-2593
Phone
(972) 840-9900
Fax
(972) 840-9980
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 30862 TX Primary

Addresses

Primary practice location

3960 Broadway Blvd
Suite 135
Garland, TX 75043-2593

Mailing address

3960 Broadway Blvd
Suite 135
Garland, TX 75043-2593
Phone (972) 840-9900

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000675 TX Practitioner - Clinical Psychologist 2466476080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3960 Broadway Blvd
Garland, TX 75043-8340
Phone (972) 840-9900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lazaro Counseling Center, LLC Psychologist CurrentSince Apr 25, 2010 Accepting new patients
Robert F Mehl III PHD & Assoc LLC Past Accepting new patients

Locations

3960 Broadway Blvd
Ste 135
Garland, TX 75043
Phone (214) 668-7134

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013901727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD",
            "address_2": "SUITE 135",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432593",
            "telephone_number": "972-840-9900",
            "fax_number": "972-840-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD",
            "address_2": "SUITE 135",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432593",
            "telephone_number": "972-840-9900",
            "fax_number": "972-840-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "PUSHPA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "30862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.