NPIMap

Organization Active NPI

Beacon Behavioral of Texas PA

Doing business as Earthman Psychiatry & Addiction Medicine

  • Psychiatry Physician
  • Allen, TX
National Provider Identifier
1053545335
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEACON BEHAVIORAL OF TEXAS PA
Doing business as
Earthman Psychiatry & Addiction Medicine
Memorial Park Psychiatry
Prestige Clinic3 more in Other names
Practice address
22 Prestige Circle
Suite 300
Allen, TX 75002
Phone
(214) 383-3200
Fax
(214) 383-3211
NPI assigned
May 14, 2009
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Mrs. Alexis Thomason
Title
Director of Revenue Cycle Managemen
Phone
(225) 436-2529

Specialties & licenses 1

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

Addresses

Primary practice location

22 Prestige Circle
Suite 300
Allen, TX 75002

Mailing address

22 Prestige Circle
Suite 300
Allen, TX 75002
Phone (214) 383-3200

Other practice location 1

550 Westcott St Ste 520
Houston, TX 77007-9001
Phone (713) 864-6694

Other practice location 2

1901 Medi Park Dr
Amarillo, TX 79106-2110
Phone (806) 354-9540

Other practice location 3

1604 Hospital Pkwy Ste 507
Bedford, TX 76022-6933
Phone (817) 354-7268

Other practice location 4

7777 Forest Ln Ste 833
Dallas, TX 75230-2571
Phone (972) 566-4591

Other practice location 5

11901 W Parmer Ln
Cedar Park, TX 78613-7651
Phone (512) 528-9498

Other names 6

  • Earthman Psychiatry & Addiction Medicine Doing business as
  • Memorial Park Psychiatry Doing business as
  • Prestige Clinic Doing business as
  • The Grant Group Doing business as
  • The Holiner Psychiatric Group Doing business as
  • Upswing Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000536 TX Part B Supplier - Clinic/Group Practice 3678626256 Receives reassigned benefits from 70 practitioners
Practice locations: Allen, TX; Amarillo, TX; Bedford, TX; Bellaire, TX; Cedar Park, TX; Dallas, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

22 Prestige Cir
Ste 300
Allen, TX 75002
Phone (214) 383-3200

1604 Hospital Pkwy
Ste 50
Bedford, TX 76022
Phone (817) 354-7268

11901 W Parmer Ln
Cedar Park, TX 78613
Phone (262) 370-7300

Ownership & related parties

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1053545335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PRESTIGE CIRCLE",
            "address_2": "SUITE 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "214-383-3200",
            "fax_number": "214-383-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PRESTIGE CIRCLE",
            "address_2": "SUITE 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "214-383-3200",
            "fax_number": "214-383-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Westcott St Ste 520",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770079001",
            "country_code": "US",
            "telephone_number": "713-864-6694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Medi Park Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791062110",
            "country_code": "US",
            "telephone_number": "806-354-9540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Hospital Pkwy Ste 507",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226933",
            "country_code": "US",
            "telephone_number": "817-354-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Forest Ln Ste 833",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302571",
            "country_code": "US",
            "telephone_number": "972-566-4591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 W Parmer Ln",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137651",
            "country_code": "US",
            "telephone_number": "512-528-9498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL OF TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "225-436-2529",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earthman Psychiatry & Addiction Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Park Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prestige Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Grant Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Holiner Psychiatric Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upswing Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upswing Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.