Organization Active NPI

Insight Behavioral Health PLLC

  • Psychiatry Physician
  • Texarkana, TX
National Provider Identifier
1922592336
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INSIGHT BEHAVIORAL HEALTH PLLC
Practice address
5501 Medical Parkway Dr
Texarkana, TX 75503-4624
Phone
(430) 200-2793
Fax
(903) 231-0142
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Ramneesh Baweja, MDNPI 1548525413
Title
Owner
Phone
(430) 200-2793

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5501 Medical Parkway Dr
Texarkana, TX 75503-4624

Mailing address

PO Box 5017
Texarkana, TX 75505-5017
Phone (430) 200-2793

Other practice location 1

5323 Summerhill Rd
Texarkana, TX 75503-1827
Phone (430) 200-2793

Other identifiers 1

IdentifierTypeStateIssuer
37729701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180821000579 TX Part B Supplier - Clinic/Group Practice 7810246147 Receives reassigned benefits from 1 practitioner
Practice locations: Texarkana, TX
O20251219002086 AR Part B Supplier - Clinic/Group Practice 7810246147 Receives reassigned benefits from 1 practitioner
Practice locations: Hope, AR

National Provider Directory

National Provider Directory

Locations

5323 Summerhill Rd
Texarkana, TX 75503
Phone (430) 200-2793

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1922592336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5017",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755055017",
            "telephone_number": "430-200-2793",
            "fax_number": "903-231-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 MEDICAL PARKWAY DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034624",
            "telephone_number": "430-200-2793",
            "fax_number": "903-231-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Summerhill Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755031827",
            "country_code": "US",
            "telephone_number": "430-200-2793",
            "fax_number": "903-231-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSIGHT BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BAWEJA",
        "authorized_official_first_name": "RAMNEESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "430-200-2793",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37729701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.