Prestonwood Health PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PRESTONWOOD HEALTH PLLC

Practice address

5300 Democracy Dr Ste 130
Plano, TX 75024-3512

Phone

(214) 500-5357

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Gus Zhang, MDNPI 1114293768

Title

Manager

Phone

(214) 500-5357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Gus Qiong Zhang, M.D.

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1114293768
  Medicare reassignment Care Compare group NPD Authorized official
• Alexander Gordon Cole, M.D.

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1013303163
  Medicare reassignment Care Compare group NPD
• Aaron Jordan Fernandez, M.D.

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1114314994
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1184400434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DEMOCRACY DR STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 DEMOCRACY DR STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243512",
            "telephone_number": "214-500-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTONWOOD HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-500-5357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Primary Medical Clinic PA
• Preston Road Dental Care,PA
• Preston Surgical Assist
• Rachel Anne Preston, MPSY, LPC
• Prestonwood Encore Adec, LLC
• Prestonwood Surgery Center LLC
• Mark E Pretorius, MD
• Preventative and Therapeutic Cardiovascular Associates
• Preventive Green Dental Care Inc
• David Prewitt, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.