Organization Active NPI

Psych Dimensions Inc

  • Psychiatry Physician
  • Georgetown, TX
National Provider Identifier
1538534086
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCH DIMENSIONS INC
Practice address
918 S Interstate 35
Georgetown, TX 78628-4127
Phone
(512) 535-3777
Fax
(512) 765-9153
NPI assigned
Dec 9, 2015
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Ronald Moore, FNPNPI 1578805123
Title
President
Phone
(512) 535-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Psychiatry Physician 2084P0800X NU Primary
Addiction Psychiatry Physician 2084P0802X NU
Geriatric Psychiatry Physician 2084P0805X NU

Addresses

Primary practice location

918 S Interstate 35
Georgetown, TX 78628-4127

Mailing address

38 Champions Run
San Antonio, TX 78258-7720
Phone (512) 535-3777

Other practice location 1

18756 Stone Oak Pkwy
San Antonio, TX 78258-4790
Phone (210) 858-5553

Other practice location 2

3400 Hillcrest Dr
Waco, TX 76708-3120
Phone (254) 342-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104000580 TX Part B Supplier - Clinic/Group Practice 0143589739 Receives reassigned benefits from 8 practitioners
Practice locations: Georgetown, TX; San Antonio, TX; San Marcos, TX; Waco, TX

National Provider Directory

National Provider Directory

Locations

1980 S Austin Ave
Georgetown, TX 78626
Phone (512) 535-3777

918 S Interstate 35
Georgetown, TX 78628
Phone (512) 535-3777

18756 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 837-2727

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1538534086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CHAMPIONS RUN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587720",
            "telephone_number": "512-535-3777",
            "fax_number": "512-765-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 S INTERSTATE 35",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284127",
            "telephone_number": "512-535-3777",
            "fax_number": "512-765-9153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18756 Stone Oak Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584790",
            "country_code": "US",
            "telephone_number": "210-858-5553",
            "fax_number": "512-765-9153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767083120",
            "country_code": "US",
            "telephone_number": "254-342-0222",
            "fax_number": "512-765-9153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCH DIMENSIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-535-3777",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.