Beacon Behavioral of Texas PA
Organization Active NPI Psychiatry Physician · Allen, TX
NPI 1053545335 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1053545335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- BEACON BEHAVIORAL OF TEXAS PA
- Practice address
- 22 Prestige Circle
Suite 300
Allen, TX 75002 - Phone
- (214) 383-3200
- Fax
- (214) 383-3211
- NPI assigned
- May 14, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Alexis Thomason
- Title
- Director of Revenue Cycle Managemen
- Phone
- (225) 436-2529
Subparts reporting this organization as parent 7
Practitioners 73
-
Grace Akangbe, PMHNP
-
Brie Elizabeth Alford, MNSC, BSN, RN
-
Wajahat Ali, MD
-
Paige Madison Bennett, PMHNP-BC
-
Matthew Neil Brams, M.D.
-
Luisa Angeles Collins Villares, APRN,FNP-C, PMHNP-BC
-
Brandi Michelle Cooper, FNP-C
-
Sandra F. Dejesus, FNP
-
Brian S Earthman, M.D.
-
Linda U Ejem, NP
-
Brianna Fallon, NP
-
Robert B Freele, M.D.
-
Brandi Gebhardt, CNP, PMHNP-BC
-
Bernard M Gerber, M.D.
-
Cathal P Grant, M.D.
-
Monica Grover, MD
-
Joel A Holiner, M.D.
-
Adrienne Lanorma Land, PMHNP
-
Ellen Chiao Lee, M.D.
-
Alice Raymay Mao, MD
-
Thu Thi Ngo, FPMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200
22 Prestige Cir
Ste 300
Allen, TX 75002
Phone (214) 383-3200
1604 Hospital Pkwy
Ste 50
Bedford, TX 76022
Phone (817) 354-7268
5959 West Loop S
Bellaire, TX 77401
Phone (713) 808-9553
7777 Forest Ln
Ste 833
Dallas, TX 75230
Phone (972) 566-4591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
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
- Earthman Psychiatry & Addiction Medicine
- Memorial Park Psychiatry
- Prestige Clinic
- The Grant Group
- The Holiner Psychiatric Group
- Upswing Psychiatry
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.