Individual provider Active NPI

John T Saglime Jr., PSY D

  • Psychologist
  • Plano, TX
National Provider Identifier
1124364831
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36650 Issued in TX
Practice address
1400 Preston Rd Ste 260
Plano, TX 75093-5183
Phone
(214) 396-3960
Fax
(214) 396-3962
NPI assigned
Dec 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36650 TX Primary

Addresses

Primary practice location

1400 Preston Rd Ste 260
Plano, TX 75093-5183

Mailing address

101 Avenue F N
Bay City, TX 77414-3167
Phone (979) 245-2008

Other practice location 1

210 S Main St Ste 5
Duncanville, TX 75116-4763
Phone (214) 396-3960

Other identifiers 1

IdentifierTypeStateIssuer
351769003MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003001928 TX Practitioner - Psychologist Billing Independently 3971723446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michelle Rinella, PSYD, PAGroup PAC ID 5395060891, 9 clinicians

Practice addresses (Care Compare)

1400 Preston Rd
Suite 260
Plano, TX 75093-5183
Phone (214) 396-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36650TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Rinella, PSYD, PA Psychologist CurrentSince Mar 7, 2023 Accepting new patients
CPST Healthcare, LLC Psychologist CurrentSince Oct 17, 2024 Accepting new patients
Matagorda Episcopal Health Outreach Program PastSince Aug 25, 2019 Accepting new patients

Locations

222 E Wheatland Rd
Ste 200
Duncanville, TX 75116
Phone (214) 396-3960

210 S Main St
Ste 5
Duncanville, TX 75116
Phone (214) 396-3960

1320 S University Dr
Ste 810
Fort Worth, TX 76107
Phone (945) 867-7823

1400 Preston Rd
Ste 260
Plano, TX 75093
Phone (214) 396-3960

Interoperability endpoints

  • Direct secure messaging: jsaglimejr@mehop.directbygreenway.com

Organizations & group practices 3

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": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1124364831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F N",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143167",
            "telephone_number": "979-245-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PRESTON RD STE 260",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935183",
            "telephone_number": "214-396-3960",
            "fax_number": "214-396-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164763",
            "country_code": "US",
            "telephone_number": "214-396-3960",
            "fax_number": "214-396-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGLIME",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-27",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351769003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.