Compassionate Psychiatric Services of Southlake PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COMPASSIONATE PSYCHIATRIC SERVICES OF SOUTHLAKE PA

Practice address

281 W Southlake Blvd
Southlake, TX 76092-7052

Phone

(469) 200-4093

Fax

(469) 200-4079

NPI assigned

Sep 10, 2024

Organization subpart

No

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

Authorized official

Name

Nazimuddin Mohammed, MD

Title

Ceo

Phone

(217) 750-3053

Specialties & licenses 1

Addresses

Other names 1

• Compassionate Psychiatric Services of Southlake Doing business as

Locations

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1295561801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 W SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927052",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927052",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE PSYCHIATRIC SERVICES OF SOUTHLAKE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "NAZIMUDDIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-750-3053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Psychiatric Services of Southlake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassionate Psychiatric Services of Southlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Collins, DPT
• Kennedy Collins
• Compass Christian Counseling Ministries
• Compassion Dermatology, PLLC
• Compassion Neuroscience
• Complete Emergency Care Southlake LLC
• Cameron Conway, OTR
• Cook Children'S Medical Center
• Cook Children'S Medical Center
• Shayne Cook, DPT

• Neurology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.