Individual provider Active NPI

Dhaval Parikh, MD

  • Child & Adolescent Psychiatry Physician
  • Terrell, TX
National Provider Identifier
1114187291
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
N9762 Issued in TX
Practice address
1200 E Brin St
Terrell, TX 75160-2938
Phone
(972) 451-8027
NPI assigned
Jun 12, 2008
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26303 OK
Psychiatry Physician 2084P0800X 26303 OK
Child & Adolescent Psychiatry Physician 2084P0804X N9762 TX Primary

Addresses

Primary practice location

1200 E Brin St
Terrell, TX 75160-2938

Mailing address

1200 E Brin St
Terrell, TX 75160-2938
Phone (972) 451-8027

Other practice location 1

7703 Floyd Curl Dr
Mail Code 7792
San Antonio, TX 78229-3901
Phone (405) 271-5251

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150330000765 TX Practitioner - Psychiatry 8820315989 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26303OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Aug 27, 2014 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Past Accepting new patients
Health and Human Services Commission Past Accepting new patients

Locations

1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

3501 N 19th St
Waco, TX 76708
Phone (254) 745-5167

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1114187291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E BRIN ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602938",
            "telephone_number": "972-451-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E BRIN ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602938",
            "telephone_number": "972-451-8027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_2": "Mail Code 7792",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "405-271-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "DHAVAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "26303",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "26303",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N9762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.