Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Gaddis, LP

Individual provider Psychologist · NPI 1629777255

Justin Gaddis, LP is a Clinical Psychologist in Fort Worth, Texas. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2023
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Practice location Address checks out

2120 Mistletoe Blvd
Fort Worth, TX 76110-1175
Phone: (817) 349-7646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8390 Lyndon B Johnson Fwy Ste 575, Dallas, TX 75243-1188 — (214) 918-1999
  • 300 College Ave, Fort Worth, TX 76104-1121 — (817) 349-7646

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1629777255
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorYes
NPI enumeratedMarch 2, 2023
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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