Active NPI
Biofeedback & Behavioral Healthcare Solutions PA
- Clinical Psychologist
- Irving, TX
National Provider Identifier
1265855464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32512
- Legal business name
- BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS PA
- Practice address
- 9612 Santa Fe Cir
Irving, TX 75063-4671 - Phone
- (972) 243-6800
- NPI assigned
- Jan 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hoori Haroon
- Title
- Manager
- Phone
- (972) 243-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32512 | TX | Primary |
Addresses
Primary practice location
9612 Santa Fe Cir
Irving, TX 75063-4671
Mailing address
9612 Santa Fe Cir
Irving, TX 75063-4671
Phone (972) 243-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091125000119 | TX | Part B Supplier - Clinic/Group Practice | 3577602911 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dallas, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Psychologist
- Frisco, TX
- NPI 1669704540
O20091125000119
-
- Clinical Psychologist
- Dallas, TX
- NPI 1740451608
O20091125000119
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1265855464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9612 SANTA FE CIR",
"city": "IRVING",
"state": "TX",
"postal_code": "750634671",
"telephone_number": "972-243-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9612 SANTA FE CIR",
"city": "IRVING",
"state": "TX",
"postal_code": "750634671",
"telephone_number": "972-243-6800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-24",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "HAROON",
"authorized_official_first_name": "HOORI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-243-6800"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.