John W. Beaty, PH.D.,P.C.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

22958 Issued in TX

Legal business name

JOHN W. BEATY, PH.D.,P.C.

Practice address

1701 N Collins Blvd
Suite 210
Richardson, TX 75080-3564

Phone

(972) 596-6351

Fax

(972) 231-4886

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Wesley Beaty, PH.D.

Title

President

Phone

(972) 596-6351

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace P Davidson, PHD

  • Clinical Psychologist
  • Plano, TX
  • NPI 1093790586
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700933116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N COLLINS BLVD",
            "address_2": "SUITE 210",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803564",
            "telephone_number": "972-596-6351",
            "fax_number": "972-231-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N COLLINS BLVD",
            "address_2": "SUITE 210",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803564",
            "telephone_number": "972-596-6351",
            "fax_number": "972-231-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. BEATY, PH.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-596-6351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "22958",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TX",
            "license": "22958",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "22958",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "22958",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "22958",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "30315",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "0004225322",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "140051",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jinsong Zhang, MD PHD
• JJ Pearce High School
• Kathryn Graham Jodry, D.D.S.
• John H Harney MD PLLC
• John W Wilson D O P a
• Sam John, LPC
• Johnson Medical Associates, P.a.
• Johnson-Hyde Corp
• Alfred R. Johnson, D.O.
• Allison Johnson, PT, DPT

• Adult Development & Aging Psychologist in Richardson, TX
• Providers in Richardson, TX by specialty
• Adult Development & Aging Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.