Justin Gaddis, LP
NPI 1629777255 · Psychologist · Fort Worth, TX
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Gaddis, LP is a Psychologist provider in Fort Worth, TX (NPI 1629777255).
Provider details
- NPI number
- 1629777255
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- LP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 8390 Lyndon B Johnson Fwy Ste 575Dallas, TX 75243-1188Phone: (214) 918-1999
- 300 College AveFort Worth, TX 76104-1121Phone: (817) 349-7646
Registry dates
- Enumerated
- 2023-03-02
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Frequently asked questions
- What is Justin Gaddis's NPI number?
- Justin Gaddis's National Provider Identifier (NPI) is 1629777255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Gaddis's specialty?
- Justin Gaddis is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Justin Gaddis located?
- Justin Gaddis's practice location on file with NPPES is 2120 Mistletoe Blvd, Fort Worth, TX 76110-1175.
- What is Justin Gaddis's phone number?
- The practice phone number listed in the NPPES registry for Justin Gaddis is (817) 349-7646.
- Does Justin Gaddis accept Medicare?
- Justin Gaddis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Gaddis's NPI active?
- Yes — Justin Gaddis's NPI (1629777255) is active in the NPPES registry as of the last update on 2026-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.