Individual provider Active NPI

Jeremy S. Bass, M.D.

  • Psychiatry Physician
  • Killeen, TX
National Provider Identifier
1194036095
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A155878 Issued in CA
Practice address
2210 E Central Texas Expy Ste 103
Killeen, TX 76543-5646
Phone
(210) 460-0362
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A155878 CA Primary

Addresses

Primary practice location

2210 E Central Texas Expy Ste 103
Killeen, TX 76543-5646

Mailing address

5320 E Central Texas Expy Ste 104
Killeen, TX 76543-5516
Phone (210) 460-0362

Other practice location 1

4815 N Assembly St
Spokane, WA 99205-6185
Phone (509) 434-7000

Other practice location 2

28310 Roadside Dr Ste 218
Agoura Hills, CA 91301-4942
Phone (646) 275-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151211001187 TX Practitioner - Psychiatry 4082835558 Reassigns benefits to 1 organization
I20181022002152 CA Practitioner - Psychiatry 4082835558 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Regents of the University of California Psychiatry CurrentSince Aug 22, 2018 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Regents of the University of California CurrentSince Aug 22, 2018 Accepting new patients
SVPS Psychiatric Services LLC Psychiatry Past Accepting new patients
Texas Magnetic Stimulation PLLC Psychiatry Past Accepting new patients

Locations

File 57326
Los Angeles, CA 90074

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

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

Interoperability endpoints

  • Direct secure messaging: jeremy.bass.1@33079.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1194036095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 E CENTRAL TEXAS EXPY STE 104",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435516",
            "telephone_number": "210-460-0362",
            "fax_number": "804-312-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E CENTRAL TEXAS EXPY STE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435646",
            "telephone_number": "210-460-0362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 N Assembly St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992056185",
            "country_code": "US",
            "telephone_number": "509-434-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28310 Roadside Dr Ste 218",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913014942",
            "country_code": "US",
            "telephone_number": "646-275-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "JEREMY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A155878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.