MIND BODY WELLNESS PC
NPI 1710929450
Psychologist in Dallas, TX

Active since June 10, 2006
17304 PRESTON RD STE 800, DALLAS, TX 75252(972) 849-8987 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mind Body Wellness Pc NPPES

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

MIND BODY WELLNESS PC (NPI 1710929450) is a healthcare organization registered as a psychologist in Dallas, Texas and active in the NPI registry since June 2006. The organization lists Kristi Roper, Partner, as its authorized official.

NPPES Registry Identity

NPI1710929450
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMIND BODY WELLNESS PC
Location Address17304 PRESTON RD STE 800Dallas, TX 75252-5645
Mailing AddressPo Box 934068Margate, FL 33093-4068 · (954) 366-2700 · Fax (954) 366-2056
Organization SubpartNo
Authorized OfficialKristi RoperPartner · (214) 763-1985
Enumeration DateJune 10, 2006
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1710929450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
17304 PRESTON RD STE 800, Dallas, TX 75252

Other Identifiers 1

Medicaid178166801TX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind Body Wellness Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mind Body Wellness PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Clinical Psychologist
NPI 1508807207
17304 PRESTON RD STE 800
Dallas, TX 75252
(214) 763-1985
✔ PECOS0.1 mi
Clinical Psychologist
NPI 1073789459
2301 OHIO DR SUITE 135
Plano, TX 75093
(972) 612-1188
✔ PECOS✔ Accepts Medicare3.0 mi
Clinical Social Worker
NPI 1225427974
11700 PRESTON RD STE 660-333
Dallas, TX 75230
(214) 675-9461
✔ PECOS5.4 mi
Clinical Psychologist
NPI 1467495416
7557 RAMBLER ROAD SUITE 814
Dallas, TX 75230
(214) 763-1985
✔ PECOS7.3 mi
Clinical Psychologist
NPI 1740297506
6008 VICKERY BLVD
Dallas, TX 75206
(214) 477-9275
✔ PECOS✔ Accepts Medicare11 mi
Clinical Psychologist
NPI 1760436638
1801 PEARSON AVE
Mckinney, TX 75069
(214) 727-0260
✔ PECOS18 mi
Clinical Psychologist
NPI 1508035353
2810 E CAUSEWAY APPROACH
Mandeville, LA 70448
(985) 898-7420
✔ PECOS✔ Accepts Medicare435 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 Mind Body Wellness PC's NPI number?

The NPI number for Mind Body Wellness PC is 1710929450. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Mind Body Wellness PC located?

Mind Body Wellness PC is located at 17304 Preston Rd Ste 800, Dallas, TX 75252. The listed phone number is (972) 849-8987.

What is Mind Body Wellness PC's specialty?

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

Is Mind Body Wellness PC enrolled in Medicare?

Yes. Mind Body Wellness PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Body Wellness PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Mind Body Wellness PC. 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. The largest specialties are Clinical Psychologist (6) and Clinical Social Worker (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mind Body Wellness PC accept?

Health plans from Molina Healthcare list Mind Body Wellness PC 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 Mind Body Wellness PC was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.