Individual provider Active NPI

David M. Sabine, PH.D.

  • Psychologist
  • Wichita Falls, TX
National Provider Identifier
1659370849
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
25041 Issued in TX
Practice address
1708 Dayton Ave
Wichita Falls, TX 76301-6110
Phone
(940) 228-7989
Fax
(940) 720-0018
NPI assigned
Jul 19, 2005
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 25041 TX Primary

Addresses

Primary practice location

1708 Dayton Ave
Wichita Falls, TX 76301-6110

Mailing address

4203 Shady Grove LN
Wichita Falls, TX 76308-4459
Phone (940) 228-7989

Other practice location 1

1800 Rose St
Wichita Falls, TX 76301-4219
Phone (940) 322-2372

Other identifiers 7

IdentifierTypeStateIssuer
100841220BMedicaidOK
121125OtherTXVALUEOPTIONS
00N17ROtherTXBLUE CROSS BLUE SHIELD
114618OtherTXSUPERIOR
115537601MedicaidTX
130445OtherTXMHN
5052129OtherTXAETNA BEHAVIORAL HEALTH

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
I20060509000626 TX Practitioner - Clinical Psychologist 5698786374 Practice locations: Wichita Falls, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1708 Dayton Ave
Wichita Falls, TX 76301-6110
Phone (940) 228-7989

Merit-based Incentive Payment System (MIPS)

Final score
22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25041TXMDPsychologist
5041TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Wieck MD PA Current Accepting new patients

Locations

1808 Rose St
Wichita Falls, TX 76301
Phone (940) 723-4488

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1659370849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 SHADY GROVE LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084459",
            "telephone_number": "940-228-7989",
            "fax_number": "940-720-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 DAYTON AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016110",
            "telephone_number": "940-228-7989",
            "fax_number": "940-720-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014219",
            "country_code": "US",
            "telephone_number": "940-322-2372",
            "fax_number": "940-322-3578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABINE",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "25041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100841220B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "121125",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00N17R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "114618",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115537601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "130445",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "5052129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.