Active NPI
Amicable Psychiatry MD, PA
- Psychiatry Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- AMICABLE PSYCHIATRY MD, PA
- Practice address
- 833 E Northwest Hwy Ste 400
Grapevine, TX 76051-3302 - Phone
- (817) 778-0191
- Fax
- (817) 421-2940
- NPI assigned
- Mar 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omotayo Onanuga, MD
- Title
- MD
- Phone
- (817) 771-0191
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
833 E Northwest Hwy Ste 400
Grapevine, TX 76051-3302
Mailing address
PO Box 2043
Grapevine, TX 76099-2043
Phone (817) 778-0191
Other names 1
- NEW AGE BEHAVIORAL HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5601 Bridge St
#Forth
Fort Worth, TX 76112
Phone (817) 586-4406
1643 Lancaster Dr
Ste 305
Grapevine, TX 76051
Phone (817) 410-2030
833 E Northwest Hwy
Ste 400
Grapevine, TX 76051
Phone (817) 778-0191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Grapevine, TX
- NPI 1518989474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1295152148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2043",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760992043",
"telephone_number": "817-778-0191",
"fax_number": "817-421-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 E NORTHWEST HWY STE 400",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513302",
"telephone_number": "817-778-0191",
"fax_number": "817-421-2940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMICABLE PSYCHIATRY MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-27",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "ONANUGA",
"authorized_official_first_name": "OMOTAYO",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "817-771-0191",
"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": [
{
"organization_name": "NEW AGE BEHAVIORAL HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.