Royal Psychiatry Service PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ROYAL PSYCHIATRY SERVICE PA

Practice address

900 W Leuda St
Fort Worth, TX 76104-3002

Phone

(817) 332-7003

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Elie Cohen

Title

MD

Phone

(845) 738-8770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1073103420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RUTLEDGE ST STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117512",
            "telephone_number": "845-738-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W LEUDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043002",
            "telephone_number": "817-332-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Blue Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778332407",
            "country_code": "US",
            "telephone_number": "979-836-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROYAL PSYCHIATRY SERVICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "845-738-8770"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sani Ann Mathew Roy, M.D.
• Shelly Lynn Roy, WHNP - BC
• Thomas Roy, M.D.
• Royal Bliss Home Healthcare LLC
• Royal Doors Transport LLC
• Royal Psychiatry Service PA
• Royal Psychological Service PC
• Royalty Ride
• Carsen Rozell
• Kathryn Rozell, FNP-C

• 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 Jan 20, 2021; 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.