Organization Active NPI

Biofeedback & Behavioral Healthcare Solutions, P.a.

  • Clinical Psychologist
  • Frisco, TX
National Provider Identifier
1669704540
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.
Practice address
13284 Bugatti Dr
Frisco, TX 75034-0916
Phone
(214) 551-7104
Fax
(214) 615-6358
NPI assigned
Feb 3, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Jeff Blanton
Title
Practice Manager
Phone
(214) 551-7104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

13284 Bugatti Dr
Frisco, TX 75034-0916

Mailing address

13284 Bugatti Dr
Frisco, TX 75034-0916
Phone (214) 551-7104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091125000119 TX Part B Supplier - Clinic/Group Practice 3577602911 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5995 Summerside Dr
Unit 795098
Dallas, TX 75379
Phone (214) 662-0044

9440 Poppy Dr
#5
Dallas, TX 75218
Phone (214) 324-6562

Practitioners & affiliated clinicians

Practitioners 4

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1669704540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13284 BUGATTI DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340916",
            "telephone_number": "214-551-7104",
            "fax_number": "214-615-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13284 BUGATTI DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340916",
            "telephone_number": "214-551-7104",
            "fax_number": "214-615-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-551-7104"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.