Organization Active NPI

Discovery Texas Interventional Psychiatry PLLC

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1093696015
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DISCOVERY TEXAS INTERVENTIONAL PSYCHIATRY PLLC
Practice address
3940 Capitol Ave
Dallas, TX 75204
Phone
(646) 752-6643
Fax
(305) 930-7437
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Jerrome Vaccaro, M.D.
Title
Ceo/Owner
Phone
(214) 736-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

3940 Capitol Ave
Dallas, TX 75204

Mailing address

3940 Capitol Ave
Dallas, TX 75204
Phone (646) 752-6643

Other names 1

  • Discovery Texas Interventional Psychiatry PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1093696015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CAPITOL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "646-752-6643",
            "fax_number": "305-930-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 CAPITOL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "646-752-6643",
            "fax_number": "305-930-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY TEXAS INTERVENTIONAL PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "JERROME",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "214-736-1118",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Texas Interventional Psychiatry PLLC",
            "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 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.