Provider Type Icon

JOHN W. BEATY PH.D.P.C. NPI 1700933116


NPI Information

NPI: 1700933116
Provider Name: JOHN W. BEATY, PH.D.,P.C.
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
1701 N COLLINS BLVD
SUITE 210
RICHARDSON, TX
ZIP 75080
Phone: (972) 596-6351
Get Directions

JOHN W. BEATY, PH.D.,P.C. is a clinical child and adolescent psychologist in Richardson, TX. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. JOHN W. BEATY, PH.D.,P.C. NPI is 1700933116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1701 N COLLINS BLVD
SUITE 210
RICHARDSON, TX
ZIP 75080-564
Phone: (972) 596-6351
Fax: (972) 231-4886

The provider's authorized official is John Wesley Beaty .
The authorized official title is President and has the following contact phone number (972) 596-6351.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & Adolescent22958TEXASYes
2103TF0200XPsychologistForensic22958TEXASX
3103TS0200XPsychologistSchool30315TEXASX
4103TA0400XPsychologistAddiction (Substance Use Disorder)22958TEXASX
5103TA0700XPsychologistAdult Development & Aging22958TEXASX
6103TC1900XPsychologistCounseling22958TEXASX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140051OTHERTEXASVALUE OPTIONS
20004225322OTHERTEXASAETNA BEHAVIORAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.