Organization Active NPI

Manju R. Goyal M.D. Psychiatry PLLC

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1538653753
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G2378 Issued in TX
Legal business name
MANJU R. GOYAL M.D. PSYCHIATRY PLLC
Practice address
12700 Hillcrest Rd Ste 125
Dallas, TX 75230-2009
Phone
(972) 598-0285
Fax
(972) 598-0287
NPI assigned
Jun 20, 2018
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Manju R Goyal, MDNPI 1326007311
Title
Owner
Phone
(214) 403-8035

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G2378 TX Primary

Addresses

Primary practice location

12700 Hillcrest Rd Ste 125
Dallas, TX 75230-2009

Mailing address

12700 Hillcrest Rd Ste 125
Dallas, TX 75230-2009
Phone (972) 598-0285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250703000642 TX Part B Supplier - Clinic/Group Practice 8527502582 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

5477 Glen Lakes Dr
Ste 210
Dallas, TX 75231
Phone (214) 265-1342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1538653753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302009",
            "telephone_number": "972-598-0285",
            "fax_number": "972-598-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302009",
            "telephone_number": "972-598-0285",
            "fax_number": "972-598-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJU R. GOYAL M.D. PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "MANJU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-403-8035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G2378",
            "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 Jun 27, 2024; 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.