NPIMap

Organization Active NPI

Maestro Psychiatry PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, TX
National Provider Identifier
1144757865
Registry record updated Mar 17, 2018
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
MAESTRO PSYCHIATRY PLLC
Practice address
1006 N Bowen Rd Ste 126
Arlington, TX 76012-2800
Phone
(682) 478-5333
NPI assigned
May 12, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MAESTRO HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jesse TuckerNPI 1033513577
Title
Owner
Phone
(817) 478-5333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1006 N Bowen Rd Ste 126
Arlington, TX 76012-2800

Mailing address

1006 N Bowen Rd Ste 126
Arlington, TX 76012-2800

Other practice location 1

1215 W Randol Mill Rd
Arlington, TX 76012-3113
Phone (682) 556-6219

National Provider Directory

National Provider Directory
Part of
Carencia LLC

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144757865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N BOWEN RD STE 126",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N BOWEN RD STE 126",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122800",
            "telephone_number": "682-478-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 W Randol Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760123113",
            "country_code": "US",
            "telephone_number": "682-556-6219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAESTRO PSYCHIATRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAESTRO HEALTHCARE LLC",
        "enumeration_date": "2017-05-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-478-5333"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.