Psychiatric Associates of North Texas PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N4086 Issued in TX

Legal business name

PSYCHIATRIC ASSOCIATES OF NORTH TEXAS PA

Practice address

6351 Preston Rd
Suite 205
Frisco, TX 75034-5805

Phone

(214) 618-2225

Fax

(214) 618-8045

NPI assigned

Jun 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rubina ShakilNPI 1891995841

Title

Owner

Phone

(214) 618-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Rubina Shakil, MD

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1891995841
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Eberle, LPC, NCC

  • Professional Counselor
  • Frisco, TX
  • NPI 1013422468
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1144514530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 PRESTON RD",
            "address_2": "SUITE 205",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345805",
            "telephone_number": "214-618-2225",
            "fax_number": "214-618-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 PRESTON RD",
            "address_2": "SUITE 205",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345805",
            "telephone_number": "214-618-2225",
            "fax_number": "214-618-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF NORTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "SHAKIL",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-618-2225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N4086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "N4086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Protix Laboratory and Medical Group
• Jocelyn Prudente
• Chloe Prudore
• Callie Pruitt-Culligan
• Debra Lynn Pruitt, LPC
• PT Concepts of Frisco North LLC
• PT Concepts of Frisco West, LLC
• Madison Ann Pugh, CF-SLP
• Lindsey Pulliam
• Elizabeth Jean Purdy

• Psychiatry Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.

Verify at the official NPI Registry.