Individual provider Active NPI

Amelia Denegre Rezai

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1407389026
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S8244 Issued in TX
Practice address
8117 Preston Rd Ste 300
Dallas, TX 75225-6347
Phone
(214) 785-6761
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 S8244 TX Primary

Addresses

Primary practice location

8117 Preston Rd Ste 300
Dallas, TX 75225-6347

Mailing address

8117 Preston Rd Ste 300
Dallas, TX 75225-6347

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S8244TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Rezai, MD, PLLC Current Accepting new patients
University of Texas Southwestern Past Accepting new patients

Locations

8117 Preston Rd
Ste 300
Dallas, TX 75225
Phone (214) 202-8575

10000 N Central Expy
Ste 400
Dallas, TX 75231
Phone (214) 361-6019

Interoperability endpoints

  • Direct secure messaging: arezai72175@direct.phhs.org

Organizations & group practices 2

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1407389026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256347",
            "telephone_number": "214-785-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAI",
        "first_name": "AMELIA",
        "middle_name": "DENEGRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S8244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.