Philip David Korenman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G3530 Issued in TX

Practice address

4975 Preston Park Blvd
Suite 790
Plano, TX 75093-5164

Phone

(972) 985-4011

Fax

(972) 985-2120

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Philip D. Korenman MD

  • Psychiatry Physician
  • Plano, TX
  • NPI 1225753908
  NPD Authorized official
• Benchmark Counseling, LLC

  dba Daniel Gowan

  • Professional Counselor
  • Plano, TX
  • NPI 1992077341
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1184721532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 PRESTON PARK BLVD STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933635",
            "telephone_number": "972-985-4011",
            "fax_number": "972-985-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 PRESTON PARK BLVD",
            "address_2": "SUITE 790",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935164",
            "telephone_number": "972-985-4011",
            "fax_number": "972-985-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENMAN",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G3530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kopec Functional Wellness, LLC
• Laura Kopec, ND, MA, CNC
• Courtney Lynn Koplyay
• Matthew Kordi, PHARMD
• Kore Physio PLLC
• Jaryl G Korpinen, DPM
• Courtney Kos, LMFT
• Ligil Varghese Koshy, PHARMD
• Joseph Anthony Kososki, D.D.S.
• Shana Kostick

• 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 May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.