Active NPI
Justin Matthew Dyniewski, M.D.
- Psychiatry Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P2981
- Practice address
- 1527 Hemphill St
Fort Worth, TX 76104-4706 - Phone
- (817) 569-5900
- Fax
- (817) 569-5998
- NPI assigned
- May 25, 2007
- Last updated
- Jan 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | P2981 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | P2981 | TX |
Addresses
Primary practice location
1527 Hemphill St
Fort Worth, TX 76104-4706
Mailing address
1527 Hemphill St
Fort Worth, TX 76104-4706
Phone (817) 569-5900
Other practice location 1
3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 569-4300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01103934 | Other | RAILROAD MEDICARE | |
| TXB160581 | Other | TX | MEDICARE |
| 306484201 | Medicaid | TX | |
| 306484202 | Other | TX | MEDICAID CSHCN |
| 8DK337 | Other | TX | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Health My Resources of Tarrant County | Psychiatry | Current | Accepting new patients |
Locations
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
1527 Hemphill St
Ft Worth, TX 76104
Phone (817) 569-4200
3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395
3840 Hulen St
Ste 100
Ft Worth, TX 76107
Phone (817) 360-0526
Organizations & group practices 1
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.
-
dba MHMR Of Tarrant County
- Psychiatry Physician
- Fort Worth, TX
- NPI 1952423782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1588875827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044706",
"telephone_number": "817-569-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044706",
"telephone_number": "817-569-5900",
"fax_number": "817-569-5998"
}
],
"practiceLocations": [
{
"address_1": "3840 Hulen St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761077277",
"country_code": "US",
"telephone_number": "817-569-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYNIEWSKI",
"first_name": "JUSTIN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P2981",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "P2981",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01103934",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB160581",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306484201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CSHCN",
"identifier": "306484202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8DK337",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.