# JOHN W. BEATY, PH.D.,P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700933116
- **Authorized official:** DR. JOHN WESLEY BEATY PH.D. (PRESIDENT)
- **Authorized official phone:** (972) 596-6351

## Contact information

- **Practice address:** 1701 N COLLINS BLVD, SUITE 210, RICHARDSON, TX 75080-3564
- **Practice address phone:** (972) 596-6351
- **Practice address fax:** (972) 231-4886
- **Mailing address:** 1701 N COLLINS BLVD, SUITE 210, RICHARDSON, TX 75080-3564
- **Mailing address phone:** (972) 596-6351
- **Mailing address fax:** (972) 231-4886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 22958 | TX | — |
| 103TA0700X | Adult Development & Aging Psychologist | 22958 | TX | Yes |
| 103TC1900X | Counseling Psychologist | 22958 | TX | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 22958 | TX | — |
| 103TF0200X | Forensic Psychologist | 22958 | TX | — |
| 103TS0200X | School Psychologist | 30315 | TX | — |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 09/11/2025