NPIMap

Organization Active NPI

Prime Psychiatry PA

  • Psychiatry Physician
  • Frisco, TX
National Provider Identifier
1295117554
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRIME PSYCHIATRY PA
Practice address
11330 Legacy Dr Ste 103
Frisco, TX 75033-1210
Phone
(469) 777-4691
Fax
(469) 777-4542
NPI assigned
Jun 23, 2015
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Efosa Airuehia, MDNPI 1972767986
Title
Physician
Phone
(469) 777-4691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
Psychiatry Physician 2084P0800X Primary
Clinic/Center 261Q00000X Q2227 TX
Physician Assistant 363A00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

11330 Legacy Dr Ste 103
Frisco, TX 75033-1210

Mailing address

11330 Legacy Dr Ste 103
Frisco, TX 75033-1210
Phone (469) 777-4691

Other practice location 1

100 N Central Expy Ste 300
Richardson, TX 75080-5310
Phone (469) 777-4691

Other practice location 2

4901 Windhaven Pkwy Ste 200
The Colony, TX 75056-6828
Phone (469) 777-4691

Other practice location 3

620 N Kimball Ave Ste 110
Southlake, TX 76092-6856
Phone (469) 777-4691

Other practice location 4

5910 Courtyard Dr Ste 330
Austin, TX 78731-3334
Phone (512) 377-2500

Other practice location 5

6221 Chapel Hill Blvd Ste 300
Plano, TX 75093-4750
Phone (469) 777-4691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150918001640 TX Part B Supplier - Clinic/Group Practice 1557678844 Receives reassigned benefits from 3 practitioners
Practice locations: The Colony, TX; Southlake, TX; Richardson, TX; Plano, TX; Frisco, TX; Houston, TX; Austin, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

6221 Chapel Hill Blvd
Ste 300
Plano, TX 75093
Phone (469) 777-4691

100 N Central Expy
Ste 300
Richardson, TX 75080
Phone (469) 777-4691

2435 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 777-4691

620 N Kimball Ave
Ste 110
Southlake, TX 76092
Phone (469) 777-4691

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1295117554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Central Expy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750805310",
            "country_code": "US",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Windhaven Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750566828",
            "country_code": "US",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Kimball Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926856",
            "country_code": "US",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5910 Courtyard Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313334",
            "country_code": "US",
            "telephone_number": "512-377-2500",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6221 Chapel Hill Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934750",
            "country_code": "US",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME PSYCHIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "AIRUEHIA",
        "authorized_official_first_name": "EFOSA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "469-777-4691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "Q2227",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.