Individual provider Active NPI

Mona Noorizadeh, PSYD

  • Psychologist
  • Emory, TX
National Provider Identifier
1194275081
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37265 Issued in TX
Practice address
314 W Lennon Dr Ste a
Suite #118
Emory, TX 75440-3062
Phone
(972) 954-7188
Fax
(214) 383-4252
NPI assigned
Oct 4, 2016
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37265 TX Primary

Addresses

Primary practice location

314 W Lennon Dr Ste a
Suite #118
Emory, TX 75440-3062

Mailing address

204 W McDermott Dr
Suite a
Allen, TX 75013-8058
Phone (972) 954-7188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37265TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Falkstein, PH.D., L.L.C. PastSince May 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1194275081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W MCDERMOTT DR",
            "address_2": "SUITE A",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138058",
            "telephone_number": "972-954-7188",
            "fax_number": "214-383-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W LENNON DR STE A",
            "address_2": "SUITE #118",
            "city": "EMORY",
            "state": "TX",
            "postal_code": "754403062",
            "telephone_number": "972-954-7188",
            "fax_number": "214-383-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORIZADEH",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emory, TX

Sources for this page

Verify at the official NPI Registry.