Organization Active NPI

Etx Psychiatric Specialists PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Tyler, TX
National Provider Identifier
1700757952
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
ETX PSYCHIATRIC SPECIALISTS PLLC
Practice address
4010 Cloverdale Dr
Tyler, TX 75701-9314
Phone
(480) 242-7129
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Matthew Rich, MSN, APRN, AGCNS-BCNPI 1639692965
Title
Owner
Phone
(480) 242-7129

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
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

4010 Cloverdale Dr
Tyler, TX 75701-9314

Mailing address

4010 Cloverdale Dr
Tyler, TX 75701-9314
Phone (480) 242-7129

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": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1700757952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 CLOVERDALE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019314",
            "telephone_number": "480-242-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 CLOVERDALE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019314",
            "telephone_number": "480-242-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETX PSYCHIATRIC SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-242-7129",
        "authorized_official_credential": "MSN, APRN, AGCNS-BC"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.