Organization
JOHN W. BEATY, PH.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WESLEY BEATY PH.D. (PRESIDENT)
(972) 596-6351
Entity
Organization
Contact information
Practice address
1701 N COLLINS BLVD, SUITE 210, RICHARDSON, TX 75080-3564
(972) 596-6351
(972) 231-4886
Mailing address
1701 N COLLINS BLVD, SUITE 210, RICHARDSON, TX 75080-3564
(972) 596-6351
(972) 231-4886
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
22958
TX
103TA0700X
Adult Development & Aging Psychologist
Primary
22958
TX
103TC1900X
Counseling Psychologist
22958
TX
103TC2200X
Clinical Child & Adolescent Psychologist
22958
TX
103TF0200X
Forensic Psychologist
22958
TX
103TS0200X
School Psychologist
30315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004225322
AETNA BEHAVIORAL HEALTH
TX
01
—
140051
VALUE OPTIONS
TX
Enumeration date
01/05/2007
Last updated
09/11/2025
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