Individual provider Active NPI

Madeline Middleton

  • Psychologist
  • De Leon, TX
National Provider Identifier
1992574800
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40052 Issued in TX
Practice address
1100 W. Reynosa Ave.
De Leon, TX 76444
Phone
(254) 893-5895
Fax
(888) 895-1214
NPI assigned
Dec 20, 2023
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 40052 TX Primary

Addresses

Primary practice location

1100 W. Reynosa Ave.
De Leon, TX 76444

Mailing address

1100 W. Reynosa Ave.
De Leon, TX 76444
Phone (254) 893-5895

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
I20250523001498 TX Practitioner - Clinical Psychologist 4880113737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 W Reynosa Ave
De Leon, TX 76444-1630
Phone (254) 893-5895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Timbers Health Clinics, Inc. Current Accepting new patients
Cross Timbers Health Clinics, Inc CurrentSince Mar 20, 2025 Accepting new patients

Locations

1100 W Reynosa Ave
De Leon, TX 76444
Phone (254) 893-5895

135 River North Blvd
Stephenville, TX 76401
Phone (254) 965-2810

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1992574800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W. REYNOSA AVE.",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "76444",
            "telephone_number": "254-893-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W. REYNOSA AVE.",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "76444",
            "telephone_number": "254-893-5895",
            "fax_number": "888-895-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Leon, TX

Sources for this page

Verify at the official NPI Registry.