Individual provider Active NPI

Maryrita K Mallet, MD

  • Psychiatry Physician
  • Weatherford, TX
National Provider Identifier
1366478182
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J4322 Issued in TX
Practice address
PO Box 1976
Weatherford, TX 76086-7976
Phone
(817) 613-1942
Fax
(817) 341-3882
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J4322 TX Primary

Addresses

Primary practice location

PO Box 1976
Weatherford, TX 76086-7976

Mailing address

PO Box 1976
Weatherford, TX 76086-7976
Phone (817) 613-1942

Other identifiers 1

IdentifierTypeStateIssuer
0962482-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000070 TX Practitioner - Psychiatry 4880856202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

116 Santa Fe Dr
Weatherford, TX 76086-6548

Hospital & facility affiliations

  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J4322TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryrita Kaiser Mallet,MD PA Psychiatry CurrentSince Mar 1, 2003 Accepting new patients

Locations

116 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 594-8100

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1366478182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1976",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760867976",
            "telephone_number": "817-613-1942",
            "fax_number": "817-341-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1976",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760867976",
            "telephone_number": "817-613-1942",
            "fax_number": "817-341-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLET",
        "first_name": "MARYRITA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J4322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962482-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.