SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC
NPI 1396973772
Psychiatry & Neurology - Psychiatry in Dallas, TX
NPI Status: Active since June 24, 2009
Contact Information
4215 GANNON LN
DALLAS, TX
ZIP 75237
Phone: (972) 283-9090
Fax: (972) 499-0367
- Organization
- Psychiatry & Neurology
- Psychiatry
About SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC
Southern Area Behavioral Healthcare Llc is a provider established in Dallas, Texas operating as a Psychiatry & Neurology with a focus in psychiatry . The healthcare provider is registered in the NPI registry with number 1396973772 assigned on June 2009. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated January 2024. Southern Area Behavioral Healthcare Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kenneth R Medlock (Chief Executive Officer)
- NPI
- 1396973772
- Provider Name
- SOUTHERN AREA BEHAVIORAL HEALTHCARE LLC
- Entity Type
- Organization
- Location Address
- 4215 GANNON LN DALLAS, TX 75237
- Location Phone
- (972) 283-9090
- Location Fax
- (972) 499-0367
- Mailing Address
- 4215 GANNON LN DALLAS, TX 75237
- Mailing Phone
- (972) 283-9090
- Mailing Fax
- (972) 499-0367
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2009
- Last Update Date
- 01-03-2024
- Code Navigator
A psychiatrist like Southern Area Behavioral Healthcare Llc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
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 Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Location Map
Secondary Locations
- 3001 Al Lipscomb Way
Dallas, TX 75215
(972) 283-9090 - 110 W Grove St
Kaufman, TX 75142
(972) 283-9090
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 3 | 251B00000X | Agencies | Case Management | |
| 4 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Arizona Complete Health
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Clear Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
Ambetter from Arkansas Health & Wellness
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver - PPO
- Complete Silver + Vision + Adult Dental - PPO
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
Ambetter from Louisiana Healthcare Connections
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
Ambetter from Superior HealthPlan
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
Ambetter of Oklahoma
- Clear Gold - PPO
- Clear Gold + Vision + Adult Dental - PPO
- Clear Silver - PPO
- Clear Silver + Vision + Adult Dental - PPO
- Complete Silver - PPO
- Complete Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
Molina Healthcare
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 250 - HMO
- Silver 1 250 with Adult Vision Services - HMO
- Silver 12 250 with First 4 Primary Care Visits Free - HMO
- Silver 3 250 - HMO
- Silver 8 250 - HMO
UnitedHealthcare
- UHC Bronze Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx, $0 Insulin) (Disponible en espanol) - HMO
- UHC Gold Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx, $0 Insulin) (Disponible en espanol) - HMO
- UHC Silver Virtual First (Unlimited $0 App-based Care, $3 Tier 2 Rx, $0 Insulin) (Disponible en espanol) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 9 | 7 | 3 | 7 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 18 | 7 | 6 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 8 + 7 + 6 + 7 + 1 + 4 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1396973772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528632031 | LIZETTE MANGUM-NNAM NJI Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
| 1932507274 | CAROLINE E SAM Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
| 1952749954 | MORGAN MEDLOCK MD Individual | Psychiatry & Neurology (Psychiatry) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
| 1932878519 | CELIA OGBE MADU PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
| 1659640415 | MR. DAVID KWAME DAPAAH LPN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
| 1740655406 | DEVONN DILLARD Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
| 1912485228 | SONYA FRANK LCSW Individual | Social Worker (Clinical) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
| 1104477579 | KANEISHA D BAILEY LPC Individual | Counselor (Professional) | 4215 GANNON LN DALLAS, TX 75237 (972) 283-9090 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396973772, enumerated in the NPI registry as an "organization" on June 24, 2009
The provider is located at 4215 Gannon Ln Dallas, Tx 75237 and the phone number is (972) 283-9090
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 24, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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