Indigo Psychiatry and Education Group, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INDIGO PSYCHIATRY AND EDUCATION GROUP, LLC

Practice address

17250 Dallas Pkwy
Dallas, TX 75248-1136

Phone

(972) 322-2316

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Rebecca Ellen Puchkors, DNP, APRN, PMHNPNPI 1497571392

Title

Member

Phone

(972) 322-2316

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rebecca E Puchkors, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1497571392

  Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1730995135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481136",
            "telephone_number": "972-322-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481136",
            "telephone_number": "972-322-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO PSYCHIATRY AND EDUCATION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "PUCHKORS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-322-2316",
        "authorized_official_credential": "DNP, APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.