Individual provider Active NPI

Yicheng Shen, MD

  • Psychiatry Physician
  • Galveston, TX
National Provider Identifier
1295358802
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
BP10070792 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-0193
Phone
(409) 772-0770
Fax
(409) 747-4010
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 BP10070792 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-0193

Mailing address

301 University Blvd
Galveston, TX 77555-0193
Phone (409) 772-0770

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
I20250210001680 TX Practitioner - Psychiatry 1557783842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Practice addresses (Care Compare)

7505 Main St
Suite 300
Houston, TX 77030-4523
Phone (713) 429-5325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10070792TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Behavioral Health PLLC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
United Psychiatry Institute, LLC PastSince Jun 1, 2023 Accepting new patients
Kairos Medical LLC Psychiatry PastSince Jan 1, 2025 Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

106 Whispering Pines Ave
Ste 103
Friendswood, TX 77546
Phone (281) 868-5440

7505 Main St
Ste 300
Houston, TX 77030
Phone (713) 799-1129

3407 Spencer Hwy
Ste 200
Pasadena, TX 77504
Phone (281) 766-3920

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (281) 315-9508

3531 Town Center Blvd S
Ste 102
Sugar Land, TX 77479
Phone (281) 819-1438

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1295358802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550193",
            "telephone_number": "409-772-0770",
            "fax_number": "409-747-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550193",
            "telephone_number": "409-772-0770",
            "fax_number": "409-747-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "YICHENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10070792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.