Individual provider Active NPI

John Richard Turnage, PSYD

  • Psychologist
  • Waco, TX
National Provider Identifier
1881896835
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
22065 Issued in TX
Practice address
110 S 12TH St
Waco, TX 76701-1810
Phone
(254) 752-3451
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 22065 TX Primary

Addresses

Primary practice location

110 S 12TH St
Waco, TX 76701-1810

Mailing address

PO Box 890
Waco, TX 76703-0890
Phone (254) 752-3451

Other identifiers 1

IdentifierTypeStateIssuer
039239101MedicaidTX

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
I20110224000646 TX Practitioner - Clinical Psychologist 4385825223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Region MHMR Center CurrentSince Nov 26, 1984 Accepting new patients

Locations

622 W Main St
Fairfield, TX 75840
Phone (903) 389-4521

130 N Covington St
Hillsboro, TX 76645
Phone (254) 582-3444

365 Coleman St
Marlin, TX 76661
Phone (254) 803-5971

700 N Highway 171
Mexia, TX 76667
Phone (254) 562-6052

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1881896835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767030890",
            "telephone_number": "254-752-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 12TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011810",
            "telephone_number": "254-752-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNAGE",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039239101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.