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DALLAS BEHAVIORAL HEALTHCARE HOSPITAL, LLC
NPI 1457791105
Psychiatric Hospital in Desoto, TX

Active since June 26, 2013CLIA 45D2070482 · Waiver
800 KIRNWOOD DR, DESOTO, TX 75115(248) 905-5091(972) 982-0974 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dallas Behavioral Healthcare Hospital, Llc NPPES

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

DALLAS BEHAVIORAL HEALTHCARE HOSPITAL, LLC (NPI 1457791105) is a healthcare organization registered as a psychiatric hospital in Desoto, Texas and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Soon Kim, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1457791105
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameDALLAS BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Location Address800 KIRNWOOD DRDesoto, TX 75115-2000
Mailing Address800 Kirnwood DrDesoto, TX 75115-2000 · (972) 982-0897 · Fax (972) 982-0974
Phone(248) 905-5091
Fax(972) 982-0974
Organization SubpartNo
Authorized OfficialSoon KimMember/manager · (248) 905-5091
Enumeration DateJune 26, 2013
Last NPPES UpdateAugust 25, 2014
✔ NPI 1457791105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
800 KIRNWOOD DR, Desoto, TX 75115
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Other Identifiers 1

Medicare OSCAR/certification454126TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2070482

Dallas Behavioral Healthcare Hospital, LLC · Desoto, TX
Active · expires Dec 17, 2027
CLIA Number45D2070482
Laboratory TypeHospital
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorTheressia L. West
Laboratory Phone(972) 982-0911
Laboratory LocationDallas Behavioral Healthcare Hospital, LLC800 Kirnwood Drive, Desoto, TX 75115
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Dallas Behavioral Healthcare Hospital LLC (CMS certification number 454126), from CMS Care Compare.

Dallas Behavioral Healthcare Hospital LLC

Psychiatric · De Soto, TX
OwnershipProprietary
CMS Certification Number454126
Location800 Kirnwood DriveDe Soto, TX 75115 · Dallas County · (972) 296-1005

Other Providers at the Same Location NPPES 6

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

PSYCH RESOLUTIONS
Psychiatry & Neurology (Psychiatry)
800 KIRNWOOD DR
DESOTO, TX 75115
Dallas County (972) 743-4200
AYODELE ABRAHAM MD PLLC
Psychiatry & Neurology (Psychiatry)
800 KIRNWOOD DR
DESOTO, TX 75115
Dallas County (972) 632-0030
DR. MATTHEW MICHAEL MATUSIAK DHSC, MT(ASCP)
Pathology (Clinical Laboratory Director, Non-physician)
800 KIRNWOOD DR
DESOTO, TX 75115
Dallas County (972) 982-0912
MARYJOY EBIRIM
Counselor (Professional)
800 KIRNWOOD DR
DESOTO, TX 75115
Dallas County (972) 982-0900
MICKY GAUTAM, D.O., P.A.
Psychiatry & Neurology (Psychiatry)
800 KIRNWOOD DR
DESOTO, TX 75115
Dallas County (214) 223-9235
RACHAEL OLABISI DADA MSN
Nurse Practitioner (Psychiatric/Mental Health)
800 KIRNWOOD DR
DESOTO, TX 75115
Dallas County (972) 982-0900

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 Dallas Behavioral Healthcare Hospital, LLC's NPI number?

The NPI number for Dallas Behavioral Healthcare Hospital, LLC is 1457791105. It was assigned to this organization in the NPPES registry on June 26, 2013.

Where is Dallas Behavioral Healthcare Hospital, LLC located?

Dallas Behavioral Healthcare Hospital, LLC is located at 800 Kirnwood Dr, Desoto, TX 75115. The listed phone number is (248) 905-5091.

What is Dallas Behavioral Healthcare Hospital, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Dallas Behavioral Healthcare Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2070482) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dallas Behavioral Healthcare Hospital, LLC a Medicare-certified hospital?

Yes. Dallas Behavioral Healthcare Hospital LLC is a Medicare-certified hospital (Psychiatric).

What insurance does Dallas Behavioral Healthcare Hospital, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Dallas Behavioral Healthcare Hospital, LLC 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 Dallas Behavioral Healthcare Hospital, LLC was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.