P Praxis·MD
● Active Type 1 · Individual

DR. Marietta Baccus Richard, PH.D

Psychologist·Southlake, TX· NPI 1699950782 · Enumerated 2008 · 18 years on NPI
Richard is 1 of 24 psychologist providers in Southlake and 1 of 3401 in Texas.
NPI age
18 years
Enumerated 2008-01-08
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-06-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3401 active psychologist providers in Texas.

NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Practice location
1725 E Southlake Blvd Ste 102
Southlake, TX 760926457
📞 6824774400
Mailing address
1725 E Southlake Blvd Ste 102
Southlake, TX 760926457
📞 6824774400

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    TX license #24396 taxonomy 103TC0700X

Identifiers

TypeValueNotes
01 (TX) 8K4637 DOCS MCR
01 (TX) 8K4700 DOMHA MCR

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new psychologist provider has been added in Southlake in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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