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THERESA RAQUEL DE FREITAS NICHOLSON MD
NPI 1790130987
Psychiatry & Neurology - Psychiatry in Dallas, TX

Active since April 26, 2016PECOS Enrolled
5323 HARRY HINES BLVD, DALLAS, TX 75390(787) 299-2334 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Raquel De Freitas Nicholson Md NPPES

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

THERESA RAQUEL DE FREITAS NICHOLSON MD (NPI 1790130987) is an individual psychiatry provider in Dallas, Texas, licensed in Texas (BP10058172) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790130987
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameTHERESA RAQUEL DE FREITAS NICHOLSONCredential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (787) 299-2334
Phone(787) 299-2334
Sole ProprietorNo
Enumeration DateApril 26, 2016
Last NPPES UpdateJuly 11, 2016
✔ NPI 1790130987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · BP10058172
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5323 HARRY HINES BLVD, Dallas, TX 75390
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Raquel De Freitas Nicholson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
DR. JYOTHSNA GATTINENI M.D.
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3438
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. ALECIA CURLENE NERO M.D.
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-4180
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771

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 Theresa De Freitas Nicholson's NPI number?

The NPI number for Theresa De Freitas Nicholson is 1790130987. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Theresa De Freitas Nicholson located?

Theresa De Freitas Nicholson practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (787) 299-2334.

What is Theresa De Freitas Nicholson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Theresa De Freitas Nicholson enrolled in Medicare?

Yes. Theresa De Freitas Nicholson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa De Freitas Nicholson was last updated on July 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.