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NPI Record: ActivePsychiatry & Neurology — Addiction Medicine
NPI1417873811
The Colony, Texas

Provider's NPPES record last updated: June 29, 2026

Overview

Entity Type
Organization
NPI
1417873811
Primary Specialty
Psychiatry & Neurology — Addiction Medicine
Practice Location
The Colony, Texas
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 5:40 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

    Taxonomy code 2084A0401X
  • Psychologist

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

    Taxonomy code 103TA0400X
  • Peer Specialist

    Other Service Providers

    Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

    Taxonomy code 175T00000X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Practice Locations

Practice Location

5752 Grandscape Blvd Ste 225

The Colony, Texas 75056-6772

Phone: (646) 741-3385

Record Information

Enumeration Date
June 29, 2026
Provider's NPPES Record Last Updated
June 29, 2026
Certification Date
June 29, 2026
NPISignal NPPES Dataset
August 2026

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