NPIMap

Organization Active NPI

Haroon Siddique, MD, PA

  • Psychiatry Physician
  • Decatur, TX
National Provider Identifier
1467614768
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M6397 Issued in TX
Legal business name
HAROON SIDDIQUE, MD, PA
Practice address
902 Preskitt Rd Ste 200
Decatur, TX 76234-4101
Phone
(940) 626-1848
Fax
(940) 626-1849
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Dr. Haroon W Siddique, M.D.NPI 1457461519
Title
President/Owner
Phone
(817) 980-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X M6397 TX Primary
Psychiatric Hospital Unit 273R00000X M6397 TX

Addresses

Primary practice location

902 Preskitt Rd Ste 200
Decatur, TX 76234-4101

Mailing address

1816 S FM 51
Suite 400, #130
Decatur, TX 76234-3784
Phone (940) 626-1848

Other practice location 1

3412 N Tarrant Pkwy Ste 520
Fort Worth, TX 76177-8643
Phone (940) 626-1848

Other identifiers 3

IdentifierTypeStateIssuer
0015RTOtherTXBCBS
191149703MedicaidTX
200570401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081203000908 TX Part B Supplier - Clinic/Group Practice 5092874057 Receives reassigned benefits from 8 practitioners
Practice locations: Decatur, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

902 Preskitt Rd
Decatur, TX 76234

902 Preskitt Rd
Ste 200
Decatur, TX 76234
Phone (940) 626-0145

3412 N Tarrant Pkwy
Ste 520
Fort Worth, TX 76177
Phone (940) 626-1848

8488 N Riverside Dr
Ste 150
Fort Worth, TX 76244
Phone (940) 626-1848

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGCIBA

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1467614768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 S FM 51",
            "address_2": "SUITE 400, #130",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343784",
            "telephone_number": "940-626-1848",
            "fax_number": "940-626-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PRESKITT RD STE 200",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344101",
            "telephone_number": "940-626-1848",
            "fax_number": "940-626-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3412 N Tarrant Pkwy Ste 520",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778643",
            "country_code": "US",
            "telephone_number": "940-626-1848",
            "fax_number": "940-626-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAROON SIDDIQUE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "HAROON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "817-980-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M6397",
            "primary": true
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "M6397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0015RT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191149703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200570401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.