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NPI 1679719751
● Active Type 2 · Organization
Micky Gautam, D.o., P.A.
Psychiatry & Neurology · Dallas, TX · NPI 1679719751
·
Enumerated 2008 · 17 years on NPI
Micky Gautam, D.o., P.A. is 1 of 4391 psychiatry & neurology organizations in Texas.
NPI age
17 years
Enumerated 2008-12-19
Primary specialty
Psychiatry & Neurology
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Gautam
Owner/president
Last NPPES update
2025-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 4391 active psychiatry & neurology providers in Texas.
NPI age
17 years
≈ at median (16 yr)
Practice locations
2
1 secondary on file
NPI lifetime · 2008 → 2026
2008-12 Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
7808 Clodus Fields Dr
Dallas, TX 752512206
📞 2142239235 fax 8177309080
Mailing address
Po Box 561136
The Colony, TX 750566136
📞 2142239235 fax 8177309080
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2026 W University Dr
Denton, TX 762010644
📞 2142239235 fax 8177309080
Authorized official
Micky Keyurnath Gautam, D.O.
Owner/president
📞 2142239235
Individual providers at this organization
20 individual providers on file at this primary practice address.
Babak Akbarian , M.D.
Psychiatry & Neurology
NPI 1255740817
Jahi Anderson , M.D.
Psychiatry & Neurology
NPI 1295069573
Mike Ashworth , PH.D.
Psychologist
NPI 1437370533
Chima Asikaiwe , M.D.
Psychiatry & Neurology
NPI 1992003669
Ayodele Ayoade , MD
Psychiatry & Neurology
NPI 1598758906
Erin Bagwell , LPC-INTERN
Counselor
NPI 1124553714
James Butler , M.D., PH.D.
Psychiatry & Neurology
NPI 1104118918
Roger Butler , MD
Psychiatry & Neurology
NPI 1538141528
Zephan Chen , DO
Psychiatry & Neurology
NPI 1255829305
Letitia Chukwumah , M.D.
Psychiatry & Neurology
NPI 1518109859
Jill Davenport , M.D.
Internal Medicine
NPI 1740440304
Kelvin Exum , M.D.
Psychiatry & Neurology
NPI 1659567824
Azim Fatima
Psychiatry & Neurology
NPI 1326363888
Micky Gautam , D.O.
Psychiatry & Neurology
NPI 1518067602
Omar Haque , MD
Psychiatry & Neurology
NPI 1598184954
James Harrison , MD
Psychiatry & Neurology
NPI 1053794792
Michaella Hinds , NP-C
Nurse Practitioner
NPI 1144861386
Melanie Holt , LPC
Counselor
NPI 1891220448
Mary Hoth , RN
Registered Nurse
NPI 1386092245
Mustafa Hussain , MD
Psychiatry & Neurology
NPI 1013988542
Specialties
Psychiatry & Neurology
Primary
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
TX license #L1861 taxonomy 2084P0800X
Identifiers
Type Value Notes
01 (TX)
L1861
TX LICENSE
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.