Individual provider Active NPI

Syed Mustafa Hassan, MD

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1043958580
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
W8852 Issued in TX
Practice address
204 Bella Katy Dr
Katy, TX 77494-6821
Phone
(281) 778-9530
Fax
(281) 778-9532
NPI assigned
May 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X W8852 TX Primary
Psychiatry Physician 2084P0800X R79439 AZ

Addresses

Primary practice location

204 Bella Katy Dr
Katy, TX 77494-6821

Mailing address

4502 Riverstone Blvd Ste 601
Missouri City, TX 77459-5205
Phone (281) 778-9530

Other practice location 1

4502 Riverstone Blvd Ste 601
Missouri City, TX 77459-5205
Phone (281) 778-9530

Other practice location 2

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R79439AZMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1043958580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 601",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595205",
            "telephone_number": "281-778-9530",
            "fax_number": "281-778-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BELLA KATY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946821",
            "telephone_number": "281-778-9530",
            "fax_number": "281-778-9532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Riverstone Blvd Ste 601",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774595205",
            "country_code": "US",
            "telephone_number": "281-778-9530",
            "fax_number": "281-778-9532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136204",
            "country_code": "US",
            "telephone_number": "520-874-6648",
            "fax_number": "520-874-7539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SYED",
        "middle_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "W8852",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R79439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.