SC1 RS 2R6 Dba Mpact Psychiatry

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SC1 RS 2R6 DBA MPACT PSYCHIATRY

Doing business as

Mpact Psychiatry

Practice address

11495 State Highway 11 W
Leesburg, TX 75451-2530

Phone

(214) 551-8296

Fax

(425) 245-5877

NPI assigned

Feb 12, 2026

Last updated

Mar 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Rowan

Title

Director

Phone

(214) 551-8296

Specialties & licenses 1

Addresses

Other names 1

• Mpact Psychiatry Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1386596146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11495 STATE HIGHWAY 11 W",
            "city": "LEESBURG",
            "state": "TX",
            "postal_code": "754512530",
            "telephone_number": "214-551-8296",
            "fax_number": "425-245-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11495 STATE HIGHWAY 11 W",
            "city": "LEESBURG",
            "state": "TX",
            "postal_code": "754512530",
            "telephone_number": "214-551-8296",
            "fax_number": "425-245-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC1 RS 2R6 DBA MPACT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-551-8296"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info.mpact@pm.me",
            "affiliation": "N",
            "endpointDescription": "Clearing house URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11495 State Highway 11 W",
            "city": "Leesburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754512530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mpact Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asa Dale Selzer, D.D.S.
• Matsayah S. Shalom, CPM, LM

• Adult Mental Health Clinic/Center in Leesburg, TX
• Providers in Leesburg, TX by specialty
• Adult Mental Health Clinic/Center in Texas

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