OrganizationActive
Micky Gautam, D.O., P.A.
NPI 1679719751 · Psychiatry Physician · Dallas, TX
Provider details
- NPI number
- 1679719751
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Micky Gautam, Owner/President(214) 223-9235
- License
- L1861 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone: (214) 223-9235
Fax: (817) 730-9080
Street-level locationGet directions
Mailing address
Po Box 561136
The Colony, TX 75056-6136
Other names (DBA / former)
- Doing business as
- Psych Health
Additional practice locations (1)
- 2026 W University DrDenton, TX 76201-0644Phone: (214) 223-9235Fax: (817) 730-9080
Registry dates
- Enumerated
- 2008-12-19
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.