Active NPI
Dallas Family Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1093577249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DALLAS FAMILY PSYCHIATRY PLLC
- Practice address
- 3701 W Northwest Hwy Ste 189
Dallas, TX 75220-4972 - Phone
- (972) 809-7773
- NPI assigned
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Camacho, NP
- Title
- Authorized Official
- Phone
- (972) 809-7773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3701 W Northwest Hwy Ste 189
Dallas, TX 75220-4972
Mailing address
5215 Audrey St
Dallas, TX 75210-3202
National Provider Directory
National Provider DirectoryLocations
3701 W Northwest Hwy
Bldg 1
Dallas, TX 75220
Phone (972) 809-7773
3701 W Northwest Hwy
Ste 189
Dallas, TX 75220
Phone (972) 679-7942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1093577249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 AUDREY ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752103202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 W NORTHWEST HWY STE 189",
"city": "DALLAS",
"state": "TX",
"postal_code": "752204972",
"telephone_number": "972-809-7773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS FAMILY PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "CAMACHO",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "972-809-7773",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.