NYAZ DIDEHBANI PH.D.
NPI 1174705743
Clinical Neuropsychologist in Dallas, TX

Q: What is Nyaz Didehbani's NPI number?

The NPI number for Nyaz Didehbani is 1174705743. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Q: What is Nyaz Didehbani's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Nyaz Didehbani was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 05, 2007PECOS Enrolled

74.59/100

CMS Quality Rating

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 509-0433 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2016, Mar 30, 2016 (2 updates tracked since 2016).

On this page

About Nyaz Didehbani Ph.d. NPPES

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

NYAZ DIDEHBANI PH.D. (NPI 1174705743) is an individual clinical neuropsychologist in Dallas, Texas, licensed in Texas (35018) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174705743

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameNYAZ DIDEHBANICredential: PH.D.

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 509-0433

Phone(214) 509-0433

Sole ProprietorNo

Enumeration DateDecember 5, 2007

Last NPPES UpdateMay 31, 20182 updates tracked since enumeration

✔ NPI 1174705743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 35018

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nyaz Didehbani Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.12

Promoting Interoperability

100

Improvement Activities

Cost

59.2

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.

DR. SANDEEP GUTTIKONDA MD

Emergency Medicine