1255958401 NPI number — ART OF PSYCHIATRY, PLLC.

Table of content: (NPI 1255958401)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255958401 NPI number — ART OF PSYCHIATRY, PLLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ART OF PSYCHIATRY, PLLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255958401
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/24/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4625 COIT RD,
Provider Second Line Business Mailing Address:
STE 240
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75035
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-651-1500
Provider Business Mailing Address Fax Number:
468-608-0110

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4625 COIT RD,
Provider Second Line Business Practice Location Address:
STE 240
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-651-1500
Provider Business Practice Location Address Fax Number:
468-608-0110
Provider Enumeration Date:
07/02/2020

Additional Information

Authorized Official

Authorized Official Last Name:
ROY
Authorized Official First Name:
WRITTIKA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER, PSYCHIATRIST
Authorized Official Telephone Number:
469-651-1500

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NONE . This is a "COMMERCIAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com