Active NPI
Biofeedback & Behavioral Healthcare Solutions, P.a.
- Clinical Psychologist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.
- Practice address
- 5995 Summerside Dr Unit 795098
Dallas, TX 75379-0092 - Phone
- (214) 662-0044
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derrick K Blanton
- Title
- Provider
- Phone
- (214) 662-0044
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
5995 Summerside Dr Unit 795098
Dallas, TX 75379-0092
Mailing address
5995 Summerside Dr # 5098
Dallas, TX 75379-0002
Phone (214) 662-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170206001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Psychologist
- Irving, TX
- NPI 1265855464
O20091125000119
-
- Clinical Psychologist
- Frisco, TX
- NPI 1669704540
O20091125000119
National Provider Directory
National Provider Directory- Tax ID family
- Biofeedback Behavioral Healthcare Solutions PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Irving, TX
- NPI 1750704409
-
- Clinical Psychologist
- Irving, TX
- NPI 1841613593
-
- Clinical Psychologist
- Frisco, TX
- NPI 1841522729
Locations
5000 Quorum Dr
Ste 220
Dallas, TX 75254
Phone (214) 615-6352
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Frisco, TX
- NPI 1194830133
-
- Clinical Social Worker
- Dallas, TX
- NPI 1417284787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754611200000",
"number": "1740451608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 SUMMERSIDE DR # 5098",
"city": "DALLAS",
"state": "TX",
"postal_code": "753790002",
"telephone_number": "214-662-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5995 SUMMERSIDE DR UNIT 795098",
"city": "DALLAS",
"state": "TX",
"postal_code": "753790092",
"telephone_number": "214-662-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "DERRICK",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "214-662-0044"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170206001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.