Idera Behavioral Health PLLC
NPI 1053287045 · Behavioral Neurology & Neuropsychiatry Physician · Grand Prairie, TX
Idera Behavioral Health PLLC is a Behavioral Neurology & Neuropsychiatry Physician organization in Grand Prairie, TX (NPI 1053287045).
Provider details
- NPI number
- 1053287045
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Babatunde Shittu, Nurse Practitioner(817) 217-0662
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Frequently asked questions
- What is Idera Behavioral Health PLLC's NPI number?
- Idera Behavioral Health PLLC's National Provider Identifier (NPI) is 1053287045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idera Behavioral Health PLLC?
- Idera Behavioral Health PLLC is classified in the NPPES registry as Behavioral Neurology & Neuropsychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Idera Behavioral Health PLLC located?
- Idera Behavioral Health PLLC's practice location on file with NPPES is 3036 Larreta, Grand Prairie, TX 75054-6794.
- What is Idera Behavioral Health PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idera Behavioral Health PLLC is (817) 217-0662.
- Who is the authorized official for Idera Behavioral Health PLLC?
- The authorized official listed on Idera Behavioral Health PLLC's NPPES record is Babatunde Shittu, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idera Behavioral Health PLLC's NPI active?
- Yes — Idera Behavioral Health PLLC's NPI (1053287045) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.