Mens-Sana Telepsychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P8392 Issued in TX

Legal business name

MENS-SANA TELEPSYCHIATRY PLLC

Practice address

5560 Mesa Springs Dr
Fort Worth, TX 76123-2120

Phone

(817) 292-4600

NPI assigned

Aug 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jyotsna Muttineni, MDNPI 1306106059

Title

Owner

Phone

(817) 292-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jyotsna Muttineni, MD

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1306106059
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1033699343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93148",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921148",
            "telephone_number": "817-292-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 MESA SPRINGS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232120",
            "telephone_number": "817-292-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12412 Timberland Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445227",
            "country_code": "US",
            "telephone_number": "682-593-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6421 Camp Bowie Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761165420",
            "country_code": "US",
            "telephone_number": "817-841-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENS-SANA TELEPSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "MUTTINENI",
        "authorized_official_first_name": "JYOTSNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-292-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P8392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1306106059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoseline Mendoza
• Kelley K. Menefee, PA
• Charles Matthew Menger, PA
• Keshav Mohan Menon
• Mens-Sana Psychiatry PLLC
• Mental Health Association of Tarrant County
• Mental Healtlh Outreach, PA
• Robert David Menzies, M.D.
• Mequip LLC
• Tonya Renae Mercado, RN

• Psychiatry Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.