Organization Active NPI

Psychiatric Group, P.a.

  • Clinical Neurophysiology Physician
  • McKinney, TX
National Provider Identifier
1407130958
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
N9406 Issued in TX
Legal business name
PSYCHIATRIC GROUP, P.A.
Practice address
105 S Tennessee St
Suite 101
McKinney, TX 75069-4368
Phone
(817) 284-9850
Fax
(817) 284-9859
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Rafael Ruiz, M.D.
Title
President
Phone
(972) 838-0126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X N9406 TX Primary

Addresses

Primary practice location

105 S Tennessee St
Suite 101
McKinney, TX 75069-4368

Mailing address

104 Park Haven Dr
McKinney, TX 75071-5052
Phone (817) 284-9850

National Provider Directory

National Provider Directory

Locations

105 S Tennessee St
Ste 101
McKinney, TX 75069
Phone (469) 309-3410

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1407130958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK HAVEN DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715052",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S TENNESSEE ST",
            "address_2": "SUITE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750694368",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-838-0126",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "N9406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.