Ricardo Schack, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G2013 Issued in TX

Practice address

175 Sagebrush LN
Waxahachie, TX 75165-1524

Phone

(972) 923-0281

Fax

(972) 938-0171

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1104977370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SAGEBRUSH LN",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651524",
            "telephone_number": "972-923-0281",
            "fax_number": "972-938-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SAGEBRUSH LN",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651524",
            "telephone_number": "972-923-0281",
            "fax_number": "972-938-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACK",
        "first_name": "RICARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G2013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133721403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Saucedo, OTR
• Lindsay Savala, LAT
• Khushbu Vinodkumar Savalia
• Huong Tiec Sayavong, NP
• Lila Naslund Sayed, LVN
• Ashley Sabrina Schaub, PHD
• David Daniel Scheid, MD
• Scott and White Clinic
• Colleen Scott, LCSW
• Jacquelyn Seaton

• Psychiatry Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.