Philip D. Korenman MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PHILIP D. KORENMAN MD

Practice address

4975 Preston Park Blvd Ste 130
Plano, TX 75093-3635

Phone

(214) 497-3454

Fax

(972) 985-2120

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Philip David Korenman, MDNPI 1184721532

Title

Owner

Phone

(214) 497-3454

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Philip David Korenman, M.D.

  • Psychiatry Physician
  • Plano, TX
  • NPI 1184721532
  NPD Authorized official
• Mindy P. Tulbert, LCSW

  • Clinical Social Worker
  • Plano, TX
  • NPI 1235209305
  NPD
• Lisa Jameson Schampan, LMSW

  • Mental Health Counselor
  • Plano, TX
  • NPI 1922109347
  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1225753908",
    "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": "214-497-3454",
            "fax_number": "972-985-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 PRESTON PARK BLVD STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933635",
            "telephone_number": "214-497-3454",
            "fax_number": "972-985-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP D. KORENMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "KORENMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-497-3454",
        "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": []
}

• Thuy Lynh Phan, D.O.
• Mary Frances Phares, FNP-C
• Pharmblue LLC
• Bailey Phelan, M.A., SLP
• Jada R Pherribo
• Jiffy Ann Philip, PHARM.D
• Terry V Philip
• Jinu Philipose, PHARM D.
• Angela R. Phillips, LMSW
• Catherine Lebourdais Phillips, PT

• 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 Oct 5, 2022; 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.