Individual provider Active NPI

Purvi Patel, PSYD

  • Clinical Neuropsychologist
  • Plano, TX
National Provider Identifier
1497933147
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
36774 Issued in TX
Practice address
555 Republic Dr Ste 325
Plano, TX 75074-8867
Phone
(903) 893-0298
Fax
(903) 892-6323
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36774 TX
Clinical Neuropsychologist 103G00000X 36774 TX Primary

Addresses

Primary practice location

555 Republic Dr Ste 325
Plano, TX 75074-8867

Mailing address

555 Republic Dr Ste 325
Plano, TX 75074-8867
Phone (903) 893-0298

Other identifiers 1

IdentifierTypeStateIssuer
1902975-06MedicaidTX

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140703001843 TX Practitioner - Clinical Psychologist 0840415964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applied Psychology Group of Texoma PAGroup PAC ID 0244406098, 3 clinicians

Practice addresses (Care Compare)

600 E Taylor St
Suite 4011
Sherman, TX 75090-2866
Phone (903) 893-0298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36774TXMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Psychology Group of Texoma PA Clinical Neuropsychologist CurrentSince Jun 11, 2014 Accepting new patients

Locations

555 Republic Dr
Ste 325
Plano, TX 75074
Phone (903) 303-5899

600 E Taylor St
Ste 4011
Sherman, TX 75090
Phone (903) 375-3358

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": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1497933147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 325",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748867",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 325",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748867",
            "telephone_number": "903-893-0298",
            "fax_number": "903-892-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURVI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36774",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902975-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.