Active NPI
Diana Isachievici, M.D.
- Psychiatric Hospital
- Wichita Falls, TX
National Provider Identifier
1205130044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- N7112
- Practice address
- 6515 Kemp Blvd
Wichita Falls, TX 76308-5419 - Phone
- (940) 689-5201
- Fax
- (940) 689-5784
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | N7112 | TX | Primary |
Addresses
Primary practice location
6515 Kemp Blvd
Wichita Falls, TX 76308-5419
Mailing address
6515 Kemp Blvd
Wichita Falls, TX 76308-5419
Phone (940) 689-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7112 | TX | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1205130044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6515 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763085419",
"telephone_number": "940-689-5201",
"fax_number": "940-689-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6515 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763085419",
"telephone_number": "940-689-5201",
"fax_number": "940-689-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISACHIEVICI",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "TX",
"license": "N7112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.