Active NPI
Mesa Springs Physician Group LLC
- Psychiatry Physician
- Arlington, TX
National Provider Identifier
1043910631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MESA SPRINGS PHYSICIAN GROUP LLC
- Practice address
- 4935 S Collins St
Arlington, TX 76018-1191 - Phone
- (682) 273-4194
- NPI assigned
- Mar 3, 2023
- Organization subpart
- Yes
- Parent organization
- MESA SPRINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Kendra
- Title
- Enrollment Specialist
- Phone
- (412) 588-3546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
4935 S Collins St
Arlington, TX 76018-1191
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (412) 588-3546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Mesa Springs LLC
Locations
4935 S Collins St
Arlington, TX 76018
Phone (682) 273-4194
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1316962210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1043910631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "412-588-3546",
"fax_number": "615-920-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 S COLLINS ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760181191",
"telephone_number": "682-273-4194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA SPRINGS PHYSICIAN GROUP LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MESA SPRINGS, LLC",
"enumeration_date": "2023-03-03",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "KENDRA",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
"authorized_official_telephone_number": "412-588-3546"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.