Magellan Provider Services, P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAGELLAN PROVIDER SERVICES, P.A.

Practice address

6303 Cowboys Way Ste 350
Frisco, TX 75034-0335

Phone

(866) 605-0634

NPI assigned

Dec 3, 2021

Organization subpart

No

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

Authorized official

Name

Rao Haris Naseem, MD

Title

President

Phone

(940) 565-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1255099545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 ROBERT FULTON DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 COWBOYS WAY STE 350",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340335",
            "telephone_number": "866-605-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN PROVIDER SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "NASEEM",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "HARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-565-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Anne Madsen
• Jacinta Chinenye Madu, APRN-CNP PMHNP-BC
• Judith Ogechukwu Maduh, PMHNP
• Exalander Samuel Magallan III, MS, LAT, ATC
• Rhea Paige Magee, OD
• Maggie Tran OD PLLC
• Magnolia Dermatology of Frisco PLLC
• Magnolia Pediatrics
• Meredith L Magruder, LPC
• Ryan Thomas Mahady

• Clinical Social Worker in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.