PSYCH MD PLLC (NPI# 1609240977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609240977 |
| Entity Type | Organization |
| Organization Name | PSYCH MD PLLC |
| Practice Address |
1029 Long Prairie Rd Suite D Flower Mound TX 75022-4243 |
| Mailing Address |
Po Box 867443 Plano TX 75086-7443 |
| Practice Telephone | 8176842710 |
| Mailing Telephone | 8176842710 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | DR. DJILLALI BOUDJENAH (CEO) |
| Authorized Official Telephone | 8176842710 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
1029 LONG PRAIRIE RD SUITE D |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75022-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760496509 | Syed Mm Quadri | Psychiatry & Neurology | 1029 Long Prairie Rd, Suite D, Flower Mound, TX 75022-4243 | 2006-07-28 |
| 1790130771 | Braindocs | Psychiatry & Neurology | 1029 Long Prairie Rd, D, Flower Mound, TX 75022-4243 | 2016-04-27 |
| 1811267727 | Innovated Minds Pa | Clinic/Center | 1029 Long Prairie Rd, Ste D, Flower Mound, TX 75022-4243 | 2012-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356622 | Ann Ball | Nurse Practitioner | 2405 Bayshore Drive, Flower Mound, TX 75022 | 2020-08-11 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1194344812 | Today Dental of Flower Mound Pllc | Dentist | 2840 Flower Mound Rd, Suite 120, Flower Mound, TX 75022 | 2020-04-13 |
| 1801398375 | Lumincare Physician Group, Pa | Family Medicine | 2628 Long Prairie Road Suite 107, Flower Mound, TX 75022 | 2018-03-01 |
| 1861948572 | Icarepros, LLC | Home Health | 4508 Cassandra Drive, Flower Mound, TX 75022 | 2016-09-01 |
| 1912378837 | Tmj & Sleep Therapy Centre of North Texas, LLC | Dentist | 1005 Long Prairie Road, Suite 100, Flower Mound, TX 75022 | 2015-10-19 |
| 1689056863 | Twila Michelle Farrar | Counselor | 1033 Long Prairie Road, Suite 4, Flower Mound, TX 75022 | 2015-06-24 |
| 1992186597 | Kelly Fuller Lewis | Pediatrics | 3041 Churchill Dr Ste 300, Flower Mound, TX 75022 | 2015-06-09 |
| 1679989313 | Uap Keller Endo, LLC | Nurse Anesthetist, Certified Registered | 1001 Surrey Lane, Flower Mound, TX 75022 | 2014-07-02 |
| 1013269273 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 4301 Cross Timbers Rd., Flowermound, TX 75022 | 2012-10-11 |
| Find all providers in zip 75022 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1730688300 | Neuropsychiatric and Behavioral Consulting Pllc | Psychiatry & Neurology | 4888 Loop Central Dr Ste 510, Houston, TX 77081-2226 | 2018-02-08 |
| 1902241029 | Travis Noble Nance | Psychiatry & Neurology | 1 Criminal Justice Dr, Conroe, TX 77301-1491 | 2013-05-02 |
| 1215183512 | David Allan Williamson | Psychiatry & Neurology | 1 Riverway Ste 600, Houston, TX 77056-1993 | 2008-08-18 |
| 1356967574 | Regions Integrated Health & Wellness LLC | Psychiatry & Neurology | 1937 Texas Pkwy, Missouri City, TX 77489-3121 | 2020-06-23 |
| 1699241513 | Neuro Psychiatric & Behavioral Rehabilitation Practitioners Associatio | Psychiatry & Neurology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2018-10-18 |
| 1154839470 | Restore Brain, Pllc | Psychiatry & Neurology | 5207 Heritage Ave, Colleyville, TX 76034-5915 | 2018-01-22 |
| 1467965905 | Hickory Trail Hospital, L.p. | Psychiatry & Neurology | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2017-11-07 |
| 1861856114 | Symedic Pllc | Psychiatry & Neurology | 2245 Texas Dr, Suite 300, Sugar Land, TX 77479-1679 | 2016-04-12 |
| 1700265873 | Gonzalo A Aillon Md Pllc | Psychiatry & Neurology | 400 S Zang Blvd, Suite 802, Dallas, TX 75208-6643 | 2015-05-22 |
| Find all providers with the same taxonomy | ||||
| City | FLOWER MOUND |
| Zip Code | 75022 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.