Individual provider Active NPI

Parostu Rohanni

  • Child & Adolescent Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1366979247
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A170497 Issued in CA
Practice address
539 W Commerce St # 7102
Dallas, TX 75208-1953
Phone
(800) 997-6196
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T9489 TX
Psychiatry Physician 2084P0800X 32951 OK
Child & Adolescent Psychiatry Physician 2084P0804X A170497 CA Primary

Addresses

Primary practice location

539 W Commerce St # 7102
Dallas, TX 75208-1953

Mailing address

539 W Commerce St # 7102
Dallas, TX 75208-1953

Other practice location 1

107 Woodbine Pl
Longview, TX 75601-2912
Phone (903) 234-4226

Other practice location 2

6957 N Figueroa St
Los Angeles, CA 90042-1245
Phone (323) 443-3175

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
I20250404002863 TX Practitioner - Psychiatry 6507114386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T9489TXMDPsychiatry Physician
A170497CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine Valley Regional MHMR Center Psychiatry Current Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Feb 1, 2025 Accepting new patients
State of Oklahoma Past Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

1007 S William St
Ste 5
Atlanta, TX 75551
Phone (903) 796-1278

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

107 Woodbine Pl
Longview, TX 75601
Phone (903) 234-4226

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

Organizations & group practices 4

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1366979247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 7102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 7102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "800-997-6196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Woodbine Pl",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756012912",
            "country_code": "US",
            "telephone_number": "903-234-4226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6957 N Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900421245",
            "country_code": "US",
            "telephone_number": "323-443-3175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHANNI",
        "first_name": "PAROSTU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T9489",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "32951",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A170497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.