Active NPI
Mark Paul Unterberg, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1316958655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E6941
- Practice address
- 4600 Samuell Blvd
Dallas, TX 75228-6827 - Phone
- (214) 381-7181
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E6941 | TX | Primary |
Addresses
Primary practice location
4600 Samuell Blvd
Dallas, TX 75228-6827
Mailing address
11515 Saint Michaels Dr
Dallas, TX 75230-2437
Phone (214) 361-6654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6941 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316958655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11515 SAINT MICHAELS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302437",
"telephone_number": "214-361-6654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 SAMUELL BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752286827",
"telephone_number": "214-381-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNTERBERG",
"first_name": "MARK",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "E6941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.