Mary Lynn Wyant, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J0735 Issued in TX

Practice address

315 W Wall St Ste 100
Grapevine, TX 76051-5284

Phone

(817) 410-2600

Fax

(817) 488-6452

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Lynn Winters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Telecare Mental Health Services of Texas, Inc.

  dba Houston Strides

  • Mental Health Counselor
  • Houston, TX
  • NPI 1689697658
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558488635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W WALL ST STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515284",
            "telephone_number": "817-410-2600",
            "fax_number": "817-488-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WALL ST STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515284",
            "telephone_number": "817-410-2600",
            "fax_number": "817-488-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYANT",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J0735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WINTERS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Kelly Wood, RPT
• Tiffany Marie Woods, PMHNP-BC
• Nathaniel Alan Worden, DC
• Robin E Wright, P.T.
• Alexandra Wurst, M.A., CCC-SLP
• Yanjing Xiao, OTR/L
• Fei Xie
• Wei Xu, AGNP-BC
• Jay Yunfeng Xue, MD
• Byungwoo Yang, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.