Justin Gaddis, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2120 Mistletoe Blvd
Fort Worth, TX 76110-1175

Phone

(817) 349-7646

NPI assigned

Mar 2, 2023

Last updated

Apr 1, 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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fort Worth Psychworks, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fort Worth, TX
  • NPI 1720775166

  Psychologist

  Medicare reassignment NPD Authorized official
• CPST Healthcare, LLC

  • Psychologist
  • Fort Worth, TX
  • NPI 1467211862
  NPD

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1629777255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041121",
            "telephone_number": "502-775-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MISTLETOE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101175",
            "telephone_number": "817-349-7646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8390 Lyndon B Johnson Fwy Ste 575",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431188",
            "country_code": "US",
            "telephone_number": "214-918-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761041121",
            "country_code": "US",
            "telephone_number": "817-349-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "JUSTIN",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha T Gabriel, PHD
• Anne Mariel Alba Gaby
• Charles M. Gaby, MA, LPC
• Sandra Gail Gachter
• Deepa Reddy Gaddam, D.D.S.
• Chinnapa R Gade, NP
• Kristen Gaffney, CCC-SLP
• Michael Gaffney, LCDC
• Dayaker Gagadam, M.D.
• Maria Sybil Gagliano, FNP

• Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.