JUSTIN GADDIS LP
NPI 1629777255
Psychologist in Fort Worth, TX

Active since March 02, 2023PECOS EnrolledAccepts Medicare Assignment
2120 MISTLETOE BLVD, FORT WORTH, TX 76110(817) 349-7646 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Mar 2, 2023 (2 updates tracked since 2023).

About Justin Gaddis Lp NPPES

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

JUSTIN GADDIS LP (NPI 1629777255) is an individual psychologist in Fort Worth, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629777255
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJUSTIN GADDISCredential: LP
Location Address2120 MISTLETOE BLVDFort Worth, TX 76110-1175
Mailing Address300 College AveFort Worth, TX 76104-1121 · (502) 775-9063
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 2, 2023
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1629777255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2120 MISTLETOE BLVD, Fort Worth, TX 76110

Secondary Practice Locations 2

Location 1300 College AveFort Worth, TX 76104-1121 · Phone (817) 349-7646
Location 28390 Lyndon B Johnson Fwy Ste 575Dallas, TX 75243-1188 · Phone (214) 918-1999

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Gaddis Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416321153
PECOS Enrollment IDI20260126000834
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.

Other Providers at the Same Location NPPES 3

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

Behavior Analyst
2120 MISTLETOE BLVD, SUITE 3
FORT WORTH, TX 76110
Anesthesiology
2120 MISTLETOE BLVD, SUITE #2
FORT WORTH, TX 76110
Behavior Analyst
2120 MISTLETOE BLVD, SUITE 3A
FORT WORTH, TX 76110

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 Justin Gaddis's NPI number?

The NPI number for Justin Gaddis is 1629777255. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Justin Gaddis located?

Justin Gaddis practices at 2120 Mistletoe Blvd, Fort Worth, TX 76110. The listed phone number is (817) 349-7646.

What is Justin Gaddis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Justin Gaddis enrolled in Medicare?

Yes. Justin Gaddis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Gaddis accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Justin Gaddis 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 Justin Gaddis was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.