EAST TEXAS NEUROBEHAVIORAL HEALTH,PLLC
NPI 1114285970
Psychologist - Clinical in Gun Barrel City, TX

Q: What is East Texas Neurobehavioral Health,pllc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 01, 2012

122 S GUN BARREL LN, SUITE 6, GUN BARREL CITY, TX 75156(903) 887-0697(903) 887-0698 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About East Texas Neurobehavioral Health,pllc NPPES

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

EAST TEXAS NEUROBEHAVIORAL HEALTH,PLLC (NPI 1114285970) is a healthcare organization registered as a clinical in Gun Barrel City, Texas and active in the NPI registry since May 2012. The organization lists Diane M Gard, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1114285970

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameEAST TEXAS NEUROBEHAVIORAL HEALTH,PLLC

Location Address122 S GUN BARREL LN, SUITE 6Gun Barrel City, TX 75156-9403

Mailing AddressPo Box 2107Mabank, TX 75147-5017 · (903) 887-0697 · Fax (903) 887-0698

Phone(903) 887-0697

Fax(903) 887-0698

Organization SubpartNo

Authorized OfficialDiane M GardOwner/clinical Psychologist · (903) 887-0697

Enumeration DateMay 1, 2012

✔ NPI 1114285970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 33829

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

122 S GUN BARREL LN, Gun Barrel City, TX 75156

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Texas Neurobehavioral Health,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to East Texas Neurobehavioral Health,pllc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Diane Gard, PHD

Clinical Psychologist

NPI 1831264274

122 S GUN BARREL LN SUITE 6
Gun Barrel City, TX 75156

(903) 887-0697

✔ PECOS✔ Accepts MedicareSame address

Travis Wacha, FNP-BC, PMHNP-BC

Nurse Practitioner

NPI 1104374297

4659 FM 1990
Palestine, TX 75801

(903) 213-2216

✔ PECOS50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 East Texas Neurobehavioral Health,pllc's NPI number?

The NPI number for East Texas Neurobehavioral Health,pllc is 1114285970. It was assigned to this organization in the NPPES registry on May 1, 2012.

Where is East Texas Neurobehavioral Health,pllc located?

East Texas Neurobehavioral Health,pllc is located at 122 S Gun Barrel Ln Suite 6, Gun Barrel City, TX 75156. The listed phone number is (903) 887-0697.

What is East Texas Neurobehavioral Health,pllc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is East Texas Neurobehavioral Health,pllc enrolled in Medicare?

Yes. East Texas Neurobehavioral Health,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Texas Neurobehavioral Health,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to East Texas Neurobehavioral Health,pllc, in Clinical Psychologist and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Texas Neurobehavioral Health,pllc accept?

Health plans from Blue Cross and Blue Shield of Texas list East Texas Neurobehavioral Health,pllc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Texas Neurobehavioral Health,pllc was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.