NPIMap

Organization Active NPI

Psy-Med, Inc.

  • Health Psychologist
  • Dallas, TX
National Provider Identifier
1881842102
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
PSY-MED, INC.
Practice address
8140 Walnut Hill Lane
Suite 308
Dallas, TX 75231-4396
Phone
(214) 348-5557
Fax
(214) 348-5898
NPI assigned
Aug 28, 2008
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Mr. Dwayne Anthony GuccioneNPI 1518106467
Title
Ceo
Phone
(214) 536-1049

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1201X

Addresses

Primary practice location

8140 Walnut Hill Lane
Suite 308
Dallas, TX 75231-4396

Mailing address

8140 Walnut Hill Lane
Suite 308
Dallas, TX 75231-4396
Phone (214) 348-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090508000408 TX Part B Supplier - Clinic/Group Practice 5092863662 Receives reassigned benefits from 22 practitioners
Practice locations: Dallas, TX; Houston, TX
O20241209001464 AR Part B Supplier - Clinic/Group Practice 5092863662 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Smith, AR
O20260423001985 MI Part B Supplier - Clinic/Group Practice 5092863662 Receives reassigned benefits from 2 practitioners
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1881842102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LANE",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314396",
            "telephone_number": "214-348-5557",
            "fax_number": "214-348-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LANE",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314396",
            "telephone_number": "214-348-5557",
            "fax_number": "214-348-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSY-MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "GUCCIONE",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-536-1049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2026; 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.

Verify at the official NPI Registry.