IDERA BEHAVIORAL HEALTH PLLC
NPI 1053287045
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Grand Prairie, TX
NPI Status: Active since October 15, 2025
Contact Information
3036 LARRETA
GRAND PRAIRIE, TX
ZIP 75054
Phone: (817) 217-0662
- Organization
- Psychiatry & Neurology
- Behavioral Neurology & Neuropsychiatry
About IDERA BEHAVIORAL HEALTH PLLC
This page provides the complete NPI Profile along with additional information for Idera Behavioral Health Pllc, a provider established in Grand Prairie, Texas operating as a Psychiatry & Neurology, focusing in behavioral neurology & neuropsychiatry . The healthcare provider is registered in the NPI registry with number 1053287045 assigned on October 2025. The practitioner's primary taxonomy code is 2084B0040X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Babatunde Shittu Pmhnp-bc (Nurse Practitioner)
- NPI
- 1053287045
- Provider Name
- IDERA BEHAVIORAL HEALTH PLLC
- Entity Type
- Organization
- Location Address
- 3036 LARRETA GRAND PRAIRIE, TX 75054
- Location Phone
- (817) 217-0662
- Mailing Address
- 3036 LARRETA GRAND PRAIRIE, TX 75054
- Mailing Phone
- (817) 217-0662
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2025
- Last Update Date
- 10-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry
- Taxonomy Code
- 2084B0040X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053287045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GRAND PRAIRIE, TX 75054
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053287045, enumerated as an "organization" on October 15, 2025.
The provider is located at 3036 LARRETA GRAND PRAIRIE, TX 75054 and the phone number is (817) 217-0662.
Psychiatry & Neurology with taxonomy code 2084B0040X and a focus in Behavioral Neurology & Neuropsychiatry.
