Marian Simisola Fagbemi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

72709 Issued in AZ

Practice address

7859 Walnut Hill LN Ste 310
Dallas, TX 75230-5615

Phone

(855) 501-1004

Fax

(833) 559-1132

NPI assigned

Mar 24, 2020

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of Texas Medical School at San Antonio, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Mark David Levine MD Psychiatrists Professional CorporationGroup PAC ID 4880814540, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marian.fagbemi.1@5919.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Satinder S. Purewal, M.D. LLC

  dba Sahara Behavioral Health

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1528128311
  Medicare reassignment Care Compare group NPD
• Mark David Levine, MD Psychiatrists Professional Corporation

  dba Mindpath Health

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1841626447
  Medicare reassignment Care Compare group
• Mindpath Health Texas PLLC

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1073482105
  Medicare reassignment
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1487281275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 WALNUT HILL LN STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305615",
            "telephone_number": "855-501-1004",
            "fax_number": "833-559-1132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6677 W Thunderbird Rd Ste I164",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853063762",
            "country_code": "US",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGBEMI",
        "first_name": "MARIAN",
        "middle_name": "SIMISOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "W1414",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "72709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen P Faddegon, MD
• Adetola Fadeyi, DC
• Fadi C Constantine, M.D. P.a
• Fagadau & Hawk, M.D LLP
• Warren Robert Fagadau, M.D.
• Diane Fagelman Birk, M.D.
• Isa Faghihi
• Salmaan Faghihi
• Milad Faghihifar, D.C.
• Marc Fagnan, M.A. CCC-SLP

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.