Individual provider Active NPI

Jenny M Murray, MD

  • Psychiatry Physician
  • Richardson, TX
National Provider Identifier
1346299187
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J6612 Issued in TX
Practice address
701 North Central Expressway
5
Richardson, TX 75080
Phone
(214) 575-2803
Fax
(214) 575-5301
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 107870 NC
Psychiatry Physician 2084P0800X J6612 TX Primary

Addresses

Primary practice location

701 North Central Expressway
5
Richardson, TX 75080

Mailing address

PO Box 835124
Richardson, TX 75083
Phone (214) 575-2803

Other identifiers 3

IdentifierTypeStateIssuer
113331602MedicaidTX
R0128856OtherTXTX DPS NUMBER
0084LNOtherTXBLUE CROSS BULE SHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmurray1150088@oc.providencedirect.org
Direct Messaging Address jmurray1150088@oc.providencedirect.org

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107870NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC Psychiatry PastSince Dec 28, 2015 Accepting new patients
Faith Regional Physician Services, LLC Past Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Psychiatry Past Accepting new patients
New River Service Authority Past Accepting new patients
New River Service Authority Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346299187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835124",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75083",
            "telephone_number": "214-575-2803",
            "fax_number": "214-575-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NORTH CENTRAL EXPRESSWAY",
            "address_2": "5",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "214-575-2803",
            "fax_number": "214-575-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "JENNY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "107870",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J6612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113331602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DPS NUMBER",
            "identifier": "R0128856",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BULE SHIELD",
            "identifier": "0084LN",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmurray1150088@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9155 SW Barnes Rd Ste 333",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmurray1150088@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9450 SW Barnes Rd Ste 200",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.