Organization Active NPI

Refresh Dallas LLC

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1619713658
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
REFRESH DALLAS LLC
Practice address
3232 McKinney Ave Ste 500
Dallas, TX 75204-7439
Phone
(214) 233-5557
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Christy VadakkanNPI 1881199040
Title
DO
Phone
(214) 233-5557

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3232 McKinney Ave Ste 500
Dallas, TX 75204-7439

Mailing address

5493 Everglades Blvd N
Naples, FL 34120-2182
Phone (214) 233-5557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1619713658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 EVERGLADES BLVD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341202182",
            "telephone_number": "214-233-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 MCKINNEY AVE STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752047439",
            "telephone_number": "214-233-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH DALLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "VADAKKAN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "214-233-5557"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.