Individual provider Active NPI

Fasiha Haq, MD

  • Psychiatry Physician
  • Pearland, TX
National Provider Identifier
1497903272
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P4317 Issued in TX
Practice address
12234 Shadow Creek Pkwy
Building 4, Ste 104
Pearland, TX 77584-7330
Phone
(713) 429-5325
Fax
(281) 816-5931
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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 P4317 TX Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy
Building 4, Ste 104
Pearland, TX 77584-7330

Mailing address

13912 Morgan Bay CT
Pearland, TX 77584-3960
Phone (713) 429-5325

Other identifiers 1

IdentifierTypeStateIssuer
3445751-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130524000587 TX Practitioner - Psychiatry 3375781727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Practice addresses (Care Compare)

12234 Shadow Creek Pkwy
Pearland, TX 77584-7330
Phone (713) 429-5325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P4317TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Psychiatry, PLLC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
United Psychiatry Institute, LLC CurrentSince Jan 1, 2015 Accepting new patients
Texas Behavioral Health PLLC Psychiatry CurrentSince Jul 15, 2016 Accepting new patients
Kairos Medical LLC Psychiatry Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 21
Friendswood, TX 77546

1505 E Winding Way Dr
Ste 218
Friendswood, TX 77546
Phone (281) 482-5551

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

106 Whispering Pines Ave
Ste 103
Friendswood, TX 77546
Phone (281) 868-5440

7505 Main St
Ste 300
Houston, TX 77030
Phone (713) 799-1129

2801 Gessner Rd
Houston, TX 77080
Phone (713) 275-5000

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

50 Briar Hollow Ln
Ste 290W
Houston, TX 77027
Phone (281) 810-7781

5314 Dashwood Dr
Houston, TX 77081
Phone (713) 295-5300

3407 Spencer Hwy
Ste 200
Pasadena, TX 77504
Phone (281) 766-3920

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (281) 315-9508

12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

3531 Town Center Blvd S
Ste 102
Sugar Land, TX 77479
Phone (281) 819-1438

Interoperability endpoints

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

Organizations & group practices 4

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1497903272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13912 MORGAN BAY CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843960",
            "telephone_number": "713-429-5325",
            "fax_number": "281-816-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY",
            "address_2": "BUILDING 4, STE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-429-5325",
            "fax_number": "281-816-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "FASIHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P4317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3445751-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.