Micky K Gautam, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L1861 Issued in TX

Practice address

800 Kirnwood Dr
Desoto, TX 75115-2000

Phone

(214) 223-9235

NPI assigned

Sep 25, 2006

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

University of North Texas HSC, College of Osteopathic Med, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Micky Gautam, D.O., P.a.

  dba Psych Health

  • Psychiatry Physician
  • Desoto, TX
  • NPI 1679719751
  Medicare reassignment NPD Authorized official
• Emergency Psychiatric Medicine, PLLC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1558538520
  NPD (past)
• Green Oaks Hospital Subsidiary LP

  dba Medical City Green Oaks Hospital

  • Psychiatric Hospital
  • Dallas, TX
  • NPI 1831140698
  NPD (past)
• Psychiatric Medical Associates, PA

  • Psychiatry Physician
  • Plano, TX
  • NPI 1508902149
  NPD (past)
• Uhp, LP

  dba University Behavioral Health of Denton

  • Psychiatric Hospital
  • Denton, TX
  • NPI 1851346407
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1518067602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561136",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566136",
            "telephone_number": "214-223-9235",
            "fax_number": "817-730-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KIRNWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152000",
            "telephone_number": "214-223-9235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 Frisco Square Blvd",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343300",
            "country_code": "US",
            "telephone_number": "214-223-9235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7808 Clodus Fields Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752512206",
            "country_code": "US",
            "telephone_number": "214-223-9235",
            "fax_number": "817-730-9080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762010644",
            "country_code": "US",
            "telephone_number": "214-223-9235",
            "fax_number": "817-730-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUTAM",
        "first_name": "MICKY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L1861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Garcia, DPT
• Robert Dale Garrett, D.D.S.
• Elizabeth A Garvey, RD, LD
• Claudia Richelle Garza, LMFT
• Cyrus Palmer Gates
• Sonia George, NP
• Jonika Gerald, RMA
• Kenneth Gerald Jr.
• Ghadir Issa MD PA
• Huzefa Ghor

• Psychiatry Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.