Psych MD TX LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PSYCH MD TX LLC

Practice address

3537 S Interstate 35 E Ste 311
Denton, TX 76210-6870

Phone

(623) 301-9992

Fax

(623) 432-7006

NPI assigned

Feb 12, 2026

Last updated

Feb 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Malar Kuppan, DNPNPI 1295216190

Title

Owner/Provider/Member/Admin

Phone

(623) 261-5258

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malar Kuppan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1295216190
  Authorized official Same address or phone

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1255283065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 W BANFF LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063045",
            "telephone_number": "623-261-5258",
            "fax_number": "623-432-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 S INTERSTATE 35 E STE 311",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106870",
            "telephone_number": "623-301-9992",
            "fax_number": "623-432-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH MD TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "KUPPAN",
        "authorized_official_first_name": "MALAR",
        "authorized_official_title_or_position": "OWNER/PROVIDER/MEMBER/ADMIN",
        "authorized_official_telephone_number": "623-261-5258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Nathaniel Protzel
• Provident Medical Supply, Inc
• Chandler James Pruitt, DC
• Cherie Pryseski, B.S.
• Psalms Home Care Consulting, LLC
• Psychiatric Consultants of NTX
• Psychology Associates of North Texas
• Psychology Associates of North Texas, P.a.
• PT Holdings of Denton LLC
• Audrey Rachelle Puentes, M.D.

• Clinic/Center in Denton, TX
• Providers in Denton, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.