Provider Demographics
NPI:1881717684
Name:ATKINS, HOWARD GRAY JR (PHD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:GRAY
Last Name:ATKINS
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2419 COIT RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3731
Mailing Address - Country:US
Mailing Address - Phone:972-612-9787
Mailing Address - Fax:972-867-2722
Practice Address - Street 1:2419 COIT RD
Practice Address - Street 2:SUITE C
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3731
Practice Address - Country:US
Practice Address - Phone:972-612-9787
Practice Address - Fax:972-867-2722
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22090103T00000X, 103TA0400X, 103TB0200X, 103TC0700X, 103TC2200X, 103TF0000X, 103TH0004X, 103TH0100X, 103TR0400X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194918OtherVALUE OPTIONS PROVIDER #
TX4130480OtherAETNA PROVIDER #
TXPHD22090OtherMAGELLAN PROVIDER #
TX2141362OtherCIGNA BEH HLTH #
TX86647AOtherBLUE CROSS BLUE SHIELD #
TX2141362OtherCIGNA BEH HLTH #
TXR58706Medicare UPIN