Active NPI
Aaron Langford
- Psychiatric/Mental Health Nurse Practitioner
- Southlake, TX
National Provider Identifier
1669809471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 764757
- Practice address
- 1100 E Southlake Blvd Ste 300
Southlake, TX 76092 - Phone
- (817) 873-0590
- Fax
- (817) 873-0591
- NPI assigned
- Oct 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 764757 | TX | Primary |
Addresses
Primary practice location
1100 E Southlake Blvd Ste 300
Southlake, TX 76092
Mailing address
1100 E Southlake Blvd Ste 300
Southlake, TX 76092-6350
Phone (817) 873-0590
Other practice location 1
7777 Forest Ln
Suite C 833
Dallas, TX 75230-2571
Phone (972) 566-4591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764727 | Other | TX | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.advancedpsychiatrydfw.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2019 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 764757 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatry PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Southlake, TX
- NPI 1437716909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1669809471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E SOUTHLAKE BLVD STE 300",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926350",
"telephone_number": "817-873-0590",
"fax_number": "817-873-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E SOUTHLAKE BLVD STE 300",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "76092",
"telephone_number": "817-873-0590",
"fax_number": "817-873-0591"
}
],
"practiceLocations": [
{
"address_1": "7777 Forest Ln",
"address_2": "SUITE C 833",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752302571",
"country_code": "US",
"telephone_number": "972-566-4591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGFORD",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-11",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "764757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "764727",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.advancedpsychiatrydfw.com",
"affiliation": "N",
"address_1": "1100 E Southlake Blvd Ste 300",
"city": "Southlake",
"state": "TX",
"country_code": "US",
"postal_code": "760926350",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.