Organization Active NPI

Psychiatric Consultants of Ft Worth PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ft Worth, TX
National Provider Identifier
1093904385
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PSYCHIATRIC CONSULTANTS OF FT WORTH PA
Practice address
3704 Mattison Ave
Ft Worth, TX 76107-2619
Phone
(817) 732-8441
Fax
(817) 732-1833
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Irwin Schussler, DO
Title
President
Phone
(817) 732-8441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X TX Primary

Addresses

Primary practice location

3704 Mattison Ave
Ft Worth, TX 76107-2619

Mailing address

3704 Mattison Ave
Ft Worth, TX 76107-2619
Phone (817) 732-8441

National Provider Directory

National Provider Directory

Locations

3704 Mattison Ave
Ft Worth, TX 76107
Phone (817) 732-8441

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1093904385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 MATTISON AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761072619",
            "telephone_number": "817-732-8441",
            "fax_number": "817-732-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 MATTISON AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761072619",
            "telephone_number": "817-732-8441",
            "fax_number": "817-732-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CONSULTANTS OF FT WORTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHUSSLER",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-732-8441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.