Organization Active NPI

Fazila Siddiqi MD . PA

  • Psychiatry Physician
  • McKinney, TX
National Provider Identifier
1255601852
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K3467 Issued in TX
Legal business name
FAZILA SIDDIQI MD . PA
Practice address
2300 W. White Ave.
Suite # 101
McKinney, TX 75071
Phone
(214) 491-1618
Fax
(214) 491-6155
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Mrs. Fazila Siddiqi, MD
Title
President
Phone
(214) 491-1618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X K3467 TX Primary

Addresses

Primary practice location

2300 W. White Ave.
Suite # 101
McKinney, TX 75071

Mailing address

2300 W. White Ave.
Suite # 101
McKinney, TX 75071
Phone (214) 491-1618

Other identifiers 1

IdentifierTypeStateIssuer
0304347-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

5939 Harry Hines Blvd
Ste 815
Dallas, TX 75235
Phone (214) 879-6500

2300 W White Ave
Ste 101
McKinney, TX 75071
Phone (214) 491-1618

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1255601852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W. WHITE AVE.",
            "address_2": "SUITE # 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "214-491-1618",
            "fax_number": "214-491-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W. WHITE AVE.",
            "address_2": "SUITE # 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "214-491-1618",
            "fax_number": "214-491-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZILA SIDDIQI MD . PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "FAZILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-491-1618",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K3467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304347-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.