Active NPI
Michael Guan-Yu Li, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1457885337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- S5968
- Practice address
- 4500 S Lancaster Rd
Dallas, TX 75216-7167 - Phone
- (214) 857-0784
- NPI assigned
- Apr 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | S5968 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
Ut Southwestern Medical Center 5323 Harry Hines Blvd
Dallas, TX 75390-6309
Other practice location 1
3501 Mills Ave
UT Austin Dell Medical School Psychiatry
Austin, TX 78731-6309
Phone (512) 324-2036
Other practice location 2
Ut Southwestern Medical Center 5323 Harry Hines Blvd
Dallas, TX 75390-6309
Phone (214) 649-2158
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5968 | TX | MD | Psychiatry Physician |
Interoperability endpoints
- mli146045@direct.phhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1457885337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753906309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-857-0784"
}
],
"practiceLocations": [
{
"address_1": "3501 Mills Ave",
"address_2": "UT Austin Dell Medical School Psychiatry",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787316309",
"country_code": "US",
"telephone_number": "512-324-2036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Ut Southwestern Medical Center 5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753906309",
"country_code": "US",
"telephone_number": "214-649-2158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "MICHAEL",
"middle_name": "GUAN-YU",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-17",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S5968",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.