Individual provider Active NPI

M. Eileen Beiler, PSYD

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1801832308
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23321 Issued in TX
Practice address
6320 Lyndon B Johnson Fwy
Suite 225
Dallas, TX 75240-6472
Phone
(972) 661-3565
Fax
(972) 661-0277
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23321 TX Primary

Addresses

Primary practice location

6320 Lyndon B Johnson Fwy
Suite 225
Dallas, TX 75240-6472

Mailing address

6320 Lyndon B Johnson Fwy
Suite 225
Dallas, TX 75240-6472
Phone (972) 661-3565

Other identifiers 3

IdentifierTypeStateIssuer
86805AOtherTXBCBS
P00001902OtherTXRAILROAD
038810003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23321TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1801832308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406472",
            "telephone_number": "972-661-3565",
            "fax_number": "972-661-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406472",
            "telephone_number": "972-661-3565",
            "fax_number": "972-661-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEILER",
        "first_name": "M.",
        "middle_name": "EILEEN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86805A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00001902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038810003",
            "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 Feb 13, 2014; 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.