Organization Active NPI

Healing Mind Psychiatry

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1083272397
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEALING MIND PSYCHIATRY
Doing business as
Healing Mind Psychiatry
Practice address
15150 Preston Rd Ste 300
Dallas, TX 75248-4871
Phone
(972) 472-6463
Fax
(214) 306-7831
NPI assigned
Jun 1, 2019
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Martha Crawford
Title
Office Manager
Phone
(432) 212-3765

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

15150 Preston Rd Ste 300
Dallas, TX 75248-4871

Mailing address

15150 Preston Rd Ste 300
Dallas, TX 75248-4871
Phone (432) 212-3765

Other names 1

  • Healing Mind Psychiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015002467 TX Part B Supplier - Clinic/Group Practice 6608107123 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

13747 Montfort Dr
Ste 230
Dallas, TX 75240
Phone (214) 638-1773

15150 Preston Rd
Ste 30020
Dallas, TX 75248
Phone (972) 472-6463

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1083272397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484871",
            "telephone_number": "432-212-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484871",
            "telephone_number": "972-472-6463",
            "fax_number": "214-306-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MIND PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "432-212-3765"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Mind Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.