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NPI · 1396973772 · NPPES-sourced

Southern Area Behavioral Healthcare LLC

ActivePsychiatry
NPI Number
1396973772
Type 2 · Organisation
Taxonomy Code
2084P0800X
Contact
(972) 283-9090
Primary practice line
Last Updated
About 2 years ago (Jan 2024)
Enumerated 2009-06-24
Primary practice addressTX · 75237-2914
4215 Gannon LnDallas, TX 75237-2914
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About this NPIWhat this record shows.

NPI 1396973772 is registered to Southern Area Behavioral Healthcare LLC, a healthcare organisation classified as "Psychiatry" and located at 4215 Gannon Ln in Dallas, Texas. The organisation's authorised official is Kenneth Medlock. The organisation has been enumerated in the NPI registry since 2009.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2009-06-24
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southern Area Behavioral Healthcare LLC accepts. To confirm in-network status with your specific health plan, contact Southern Area Behavioral Healthcare LLC directly at (972) 283-9090.

Frequently asked

Yes. NPI 1396973772 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatry is the medical specialty focused on the diagnosis, treatment, and prevention of mental health conditions, including depression, anxiety, bipolar disorder, and schizophrenia.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (972) 283-9090.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southern Area Behavioral Healthcare LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2084P0800X
Last updated2024-01
Enumerated2009-06-24
StatusActive
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