Individual provider Active NPI

Alefiyah Bharmal, PSY.D.

  • Psychologist
  • Irving, TX
National Provider Identifier
1033565437
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37153 Issued in TX
Practice address
400 E Royal LN Ste 290
Irving, TX 75039-3602
Phone
(972) 937-8165
Fax
(469) 532-0253
NPI assigned
May 4, 2016
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 37153 TX
Psychologist 103T00000X 37153 TX Primary
Clinical Psychologist 103TC0700X 37153 TX

Addresses

Primary practice location

400 E Royal LN Ste 290
Irving, TX 75039-3602

Mailing address

6854 Sonoma
Irving, TX 75039-3074
Phone (210) 723-7869

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
I20160705000368 TX Practitioner - Clinical Psychologist 9335431808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 E Royal LN
Suite 290
Irving, TX 75039-3602
Phone (972) 937-8165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37153TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Psychological Services PLLC Psychologist CurrentSince Mar 20, 2019 Accepting new patients
Dallas Sigma Counseling Services, Inc. Psychologist CurrentSince Jun 2, 2016 Accepting new patients
CPST Healthcare, LLC Psychologist PastSince Mar 1, 2024 Accepting new patients

Locations

1902 Country Club Dr
Ste 120
Carrollton, TX 75006
Phone (972) 820-6299

400 E Royal Ln
Ste 290
Irving, TX 75039
Phone (469) 249-8410

Organizations & group practices 3

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1033565437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6854 SONOMA",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393074",
            "telephone_number": "210-723-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ROYAL LN STE 290",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393602",
            "telephone_number": "972-937-8165",
            "fax_number": "469-532-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARMAL",
        "first_name": "ALEFIYAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37153",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37153",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.