Individual provider Active NPI

Ranee Beaty Gumm, PHD

  • Psychologist
  • Hurst, TX
National Provider Identifier
1104834175
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23241 Issued in TX
Practice address
124 W Harwood Rd Ste a
Hurst, TX 76054-7016
Phone
(817) 576-4222
Fax
(817) 576-2200
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 22341 TX
Marriage & Family Therapist 106H00000X 1145 TX
Psychologist 103T00000X 23241 TX Primary

Addresses

Primary practice location

124 W Harwood Rd Ste a
Hurst, TX 76054-7016

Mailing address

1848 Norwood Plaza
Suite 112
Hurst, TX 76054-3751
Phone (817) 282-6655

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
I20040923000298 TX Practitioner - Clinical Psychologist 7911975313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Colleyville, TX 76034
Phone (817) 576-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22341TXMDCounseling Psychologist
1145TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gumm Psychological Services PC Psychologist Current Accepting new patients
Gumm Psychological Services, PC Psychologist CurrentSince Dec 21, 2014 Accepting new patients

Locations

1848 Norwood Plz
Ste 112
Hurst, TX 76054
Phone (817) 282-6655

1501 Norwood Dr
Ste 122
Hurst, TX 76054
Phone (817) 282-6655

124 W Harwood Rd
Ste A
Hurst, TX 76054
Phone (817) 576-4222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1104834175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 NORWOOD PLAZA",
            "address_2": "SUITE 112",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543751",
            "telephone_number": "817-282-6655",
            "fax_number": "817-282-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W HARWOOD RD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760547016",
            "telephone_number": "817-576-4222",
            "fax_number": "817-576-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMM",
        "first_name": "RANEE",
        "middle_name": "BEATY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "22341",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1145",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.