Active NPI
Daniel Eric Rousch, D.O.
- Psychiatry Physician
- Hurst, TX
National Provider Identifier
1376536805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- J4488
- Practice address
- 1236 Southridge CT Ste 201
Hurst, TX 76053-4284 - Phone
- (817) 585-6807
- Fax
- (817) 394-2119
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | J4488 | TX | Primary |
Addresses
Primary practice location
1236 Southridge CT Ste 201
Hurst, TX 76053-4284
Mailing address
1236 Southridge CT Ste 201
Hurst, TX 76053-4284
Phone (817) 585-6807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4488 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernard L. Rousch, MD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bedford, TX
- NPI 1477761377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1376536805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 SOUTHRIDGE CT STE 201",
"city": "HURST",
"state": "TX",
"postal_code": "760534284",
"telephone_number": "817-585-6807",
"fax_number": "817-394-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 SOUTHRIDGE CT STE 201",
"city": "HURST",
"state": "TX",
"postal_code": "760534284",
"telephone_number": "817-585-6807",
"fax_number": "817-394-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSCH",
"first_name": "DANIEL",
"middle_name": "ERIC",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J4488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.