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

NPI Information

NPI: 1700933116
Provider Name: JOHN W. BEATY, PH.D.,P.C.
Classification: Psychologist - 103TA0700X
Specialization: Adult Development & Aging
Entity Type: Organization
Address: 1701 N COLLINS BLVD
SUITE 210
RICHARDSON, TX
ZIP 75080
Phone: (972) 596-6351

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NPI Details

JOHN W. BEATY, PH.D.,P.C. is an adult development and aging psychologist in Richardson, TX. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. 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 9/11/2025.

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
1	103TC2200X	Psychologist	Clinical Child & Adolescent	22958	TEXAS	No
2	103TF0200X	Psychologist	Forensic	22958	TEXAS	No
3	103TS0200X	Psychologist	School	30315	TEXAS	No
4	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	22958	TEXAS	No
5	103TC1900X	Psychologist	Counseling	22958	TEXAS	No
6	103TA0700X	Psychologist	Adult Development & Aging	22958	TEXAS	Yes

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
1	0004225322	OTHER	TEXAS	AETNA BEHAVIORAL HEALTH
2	140051	OTHER	TEXAS	VALUE OPTIONS

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: 11/21/2025

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