Individual provider Active NPI

John Nichalos Kamphaus, M.D.

  • Psychiatry Physician
  • Plano, TX
National Provider Identifier
1013924257
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H1717 Issued in TX
Practice address
1700 Alma Dr
Suite 480
Plano, TX 75075-6937
Phone
(972) 422-2008
Fax
(972) 422-4014
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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 H1717 TX Primary

Addresses

Primary practice location

1700 Alma Dr
Suite 480
Plano, TX 75075-6937

Mailing address

1700 Alma Dr
Suite 480
Plano, TX 75075-6937
Phone (972) 422-2008

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
I20221107001908 TX Practitioner - Psychiatry 9830411206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

1708 Coit Rd
Suite 210
Plano, TX 75075-5025
Phone (469) 361-2743

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1717TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Geode Clinicians of Texas PLLC Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Geode Health of Texas, PLLC Psychiatry CurrentSince Oct 18, 2022 Accepting new patients

Locations

1211 W 22nd St
Ste 400
Oak Brook, IL 60523

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

1701 River Run
Fort Worth, TX 76107
Phone (254) 768-3397

5899 Preston Rd
Ste 901
Frisco, TX 75034
Phone (469) 253-5894

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

2401 Callender Rd
Ste 105
Mansfield, TX 76063
Phone (214) 444-3557

1708 Coit Rd
Ste 210
Plano, TX 75075
Phone (469) 253-5877

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Networks

  • TX HMO

Interoperability endpoints

  • Direct secure messaging: john.kamphaus.1@25899.direct.athenahealth.com

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1013924257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ALMA DR",
            "address_2": "SUITE 480",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756937",
            "telephone_number": "972-422-2008",
            "fax_number": "972-422-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALMA DR",
            "address_2": "SUITE 480",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756937",
            "telephone_number": "972-422-2008",
            "fax_number": "972-422-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPHAUS",
        "first_name": "JOHN",
        "middle_name": "NICHALOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.