NPIMap

Organization Active NPI

Dallas Center for Advanced Depression Treatments

  • Adult Mental Health Clinic/Center
  • Addison, TX
National Provider Identifier
1710566773
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DALLAS CENTER FOR ADVANCED DEPRESSION TREATMENTS
Doing business as
Dallas Center for Advanced Depression Treatments
Practice address
16479 Dallas Pkwy Ste 320
Addison, TX 75001-6709
Phone
(469) 484-4260
NPI assigned
Apr 6, 2021
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESTON HOLLOW PSYCHIATRY GROUP, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Marty Neal Bennett, MDNPI 1487616272
Title
Medical Director
Phone
(469) 484-4260

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

16479 Dallas Pkwy Ste 320
Addison, TX 75001-6709

Mailing address

16479 Dallas Pkwy Ste 320
Addison, TX 75001-6709
Phone (469) 484-4260

Other names 1

  • Dallas Center for Advanced Depression Treatments Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Preston Hollow Psych GRP2 organizations share this tax ID, including this one
Part of
Preston Hollow Psych GRP

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1710566773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16479 DALLAS PKWY STE 320",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016709",
            "telephone_number": "469-484-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16479 DALLAS PKWY STE 320",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016709",
            "telephone_number": "469-484-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS CENTER FOR ADVANCED DEPRESSION TREATMENTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTON HOLLOW PSYCHIATRY GROUP, PLLC",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "469-484-4260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Center for Advanced Depression Treatments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.