Organization Active NPI

Mens-Sana Psychiatry PLLC

  • Psychiatry Physician
  • Fort Worth, TX
National Provider Identifier
1316317159
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P8392 Issued in TX
Legal business name
MENS-SANA PSYCHIATRY PLLC
Practice address
5560 Mesa Springs Drive
Fort Worth, TX 76123
Phone
(817) 731-6121
Fax
(817) 732-8015
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Jyotsna Muttineni, MD
Title
Owner
Phone
(817) 731-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X P8392 TX Primary

Addresses

Primary practice location

5560 Mesa Springs Drive
Fort Worth, TX 76123

Mailing address

P O Box 93148
Southlake, TX 76092
Phone (817) 731-6121

National Provider Directory

National Provider Directory

Locations

771 E Southlake Blvd
Ste 107
Southlake, TX 76092
Phone (817) 808-2698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1316317159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 93148",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-731-6121",
            "fax_number": "817-732-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 MESA SPRINGS DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123",
            "telephone_number": "817-731-6121",
            "fax_number": "817-732-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS-SANA PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MUTTINENI",
        "authorized_official_first_name": "JYOTSNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-731-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P8392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.