Organization Active NPI

Ventana Mental Health Dallas PLLC

  • Psychiatry Physician
  • Southlake, TX
National Provider Identifier
1316888647
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VENTANA MENTAL HEALTH DALLAS PLLC
Practice address
420 N Carroll Ave Ste 150
Southlake, TX 76092-6454
Phone
(817) 646-7997
Fax
(817) 479-3954
NPI assigned
Apr 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Jorge Corona, MD
Title
Authorized Official
Phone
(817) 646-7997

Specialties & licenses 1

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

Addresses

Primary practice location

420 N Carroll Ave Ste 150
Southlake, TX 76092-6454

Mailing address

420 N Carroll Ave Ste 150
Southlake, TX 76092-6454
Phone (817) 646-7997

National Provider Directory

National Provider Directory

Locations

420 N Carroll Ave
Ste 150
Southlake, TX 76092
Phone (210) 201-3316

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1316888647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CARROLL AVE STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926454",
            "telephone_number": "817-646-7997",
            "fax_number": "817-479-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CARROLL AVE STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926454",
            "telephone_number": "817-646-7997",
            "fax_number": "817-479-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTANA MENTAL HEALTH DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-646-7997",
        "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": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.