Organization Active NPI

Biofeedback & Behavioral Healthcare Solutions PA

  • Clinical Psychologist
  • Irving, TX
National Provider Identifier
1265855464
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32512 Issued in TX
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

Updated by the provider on Feb 5, 2014

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.