1. Home
  2. Directory
  3. Texas
  4. Grand Prairie
  5. Psychiatry Neurology
  6. NPI Profile

IDERA BEHAVIORAL HEALTH PLLC
NPI 1053287045
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Grand Prairie, TX

Active since October 15, 2025
3036 LARRETA, GRAND PRAIRIE, TX 75054(817) 217-0662 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idera Behavioral Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDERA BEHAVIORAL HEALTH PLLC (NPI 1053287045) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Grand Prairie, Texas and active in the NPI registry since October 2025. The organization lists Babatunde Shittu, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1053287045
Entity TypeOrganization
Primary Taxonomy2084B0040X
Legal Business NameIDERA BEHAVIORAL HEALTH PLLC
Location Address3036 LARRETAGrand Prairie, TX 75054-6794
Mailing Address3036 LarretaGrand Prairie, TX 75054-6794 · (817) 217-0662
Phone(817) 217-0662
Organization SubpartNo
Authorized OfficialBabatunde ShittuNurse Practitioner · (817) 217-0662
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1053287045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084B0040X
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
3036 LARRETA, Grand Prairie, TX 75054
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BABATUNDE T SHITTU NP
Nurse Practitioner (Psychiatric/Mental Health)
3036 LARRETA
GRAND PRAIRIE, TX 75054
Tarrant County (817) 217-0662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idera Behavioral Health PLLC's NPI number?

The NPI number for Idera Behavioral Health PLLC is 1053287045. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Idera Behavioral Health PLLC located?

Idera Behavioral Health PLLC is located at 3036 Larreta, Grand Prairie, TX 75054. The listed phone number is (817) 217-0662.

What is Idera Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

When was this NPI record last updated?

The NPPES record for Idera Behavioral Health PLLC was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.