Individual provider Active NPI

Adami A Gabriel, PSYD

  • Clinical Neuropsychologist
  • Flower Mound, TX
National Provider Identifier
1710285440
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
34988 Issued in TX
Practice address
1011 Surrey LN Ste 200
Flower Mound, TX 75022-4274
Phone
(469) 248-7591
Fax
(866) 731-1124
NPI assigned
Mar 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 34988 TX Primary
Clinical Psychologist 103TC0700X 34988 TX

Addresses

Primary practice location

1011 Surrey LN Ste 200
Flower Mound, TX 75022-4274

Mailing address

2116 Friar CT
Flower Mound, TX 75028-3555
Phone (469) 248-7591

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
I20150216000067 TX Practitioner - Clinical Psychologist 3173848140 Reassigns benefits to 2 organizations
Practice locations: Flower Mound, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1011 Surrey LN
Suite 200
Flower Mound, TX 75022-4274
Phone (469) 248-7591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34988TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Answer Psychological Services Clinical Neuropsychologist CurrentSince Apr 1, 2017 Accepting new patients
Texas Health, LLC Clinical Past Accepting new patients

Locations

1011 Surrey Ln
Ste 200
Flower Mound, TX 75022
Phone (469) 248-7591

2250 Morriss Rd
Ste 205
Flower Mound, TX 75028
Phone (469) 248-7591

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1710285440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 FRIAR CT",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283555",
            "telephone_number": "469-248-7591",
            "fax_number": "866-731-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SURREY LN STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224274",
            "telephone_number": "469-248-7591",
            "fax_number": "866-731-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ADAMI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-04",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34988",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.