Individual provider Active NPI

Elena Riedo, PSY.D.

  • Clinical Psychologist
  • Colleyville, TX
National Provider Identifier
1730566308
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36929 Issued in TX
Practice address
8074 Precinct Line Rd Ste 3
Colleyville, TX 76034-7547
Phone
(817) 437-4505
Fax
(888) 250-8536
NPI assigned
May 2, 2015
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 36929 TX
Cognitive & Behavioral Psychologist 103TB0200X 36929 TX
Clinical Psychologist 103TC0700X 36929 TX Primary

Addresses

Primary practice location

8074 Precinct Line Rd Ste 3
Colleyville, TX 76034-7547

Mailing address

8074 Precinct Line Rd Ste 3
Colleyville, TX 76034-7547
Phone (817) 437-4505

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
I20150722003628 TX Practitioner - Clinical Psychologist 3678886595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychology Care Associates PLLCGroup PAC ID 3971880105, 2 clinicians

Practice addresses (Care Compare)

209 Travis St
Suite 102
Roanoke, TX 76262-8605
Phone (817) 437-4505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36929TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Care Associates PLLC Clinical CurrentSince Mar 2, 2017 Accepting new patients

Locations

209 Travis St
Ste 102
Roanoke, TX 76262
Phone (817) 437-4505

1723 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 437-4505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1730566308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8074 PRECINCT LINE RD STE 3",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347547",
            "telephone_number": "817-437-4505",
            "fax_number": "888-250-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 PRECINCT LINE RD STE 3",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347547",
            "telephone_number": "817-437-4505",
            "fax_number": "888-250-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDO",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-02",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "36929",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "36929",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.