Individual provider Active NPI

Daniel Eric Rousch, D.O.

  • Psychiatry Physician
  • Hurst, TX
National Provider Identifier
1376536805
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J4488 Issued in TX
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

Updated by the provider on Sep 1, 2023

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 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

LicenseStateTypeSpecialty
J4488TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.