MATHEW VADAKKEVEETTIL CHACKO PMHNP-BC
NPI 1104538552
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX
About Mathew Vadakkeveettil Chacko Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATHEW VADAKKEVEETTIL CHACKO PMHNP-BC (NPI 1104538552) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1089361) and active in the NPI registry since December 2022. He maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75216
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 Mathew Chacko's NPI number?
The NPI number for Mathew Chacko is 1104538552. It was assigned to this individual provider in the NPPES registry on December 16, 2022. The provider is also known as Mathew V Chacko.
Where is Mathew Chacko located?
Mathew Chacko practices at 4500 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 727-1031.
What is Mathew Chacko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
When was this NPI record last updated?
The NPPES record for Mathew Chacko was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mathew Vadakkeveettil Chacko, PMHNP-BC · NPI 1104538552
Psychiatric/Mental Health physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since December 16, 2022.
## Identity
- **NPI:** 1104538552 (Entity type: Individual)
- **Enumerated:** December 16, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1089361 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 S LANCASTER RD, Dallas, TX 75216-7167
- **Phone:** (214) 727-1031
## Record status
- **NPPES last updated:** December 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104538552) · Data from the CMS NPPES public registry.