NPIMap

Organization Active NPI

Addismind PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1639848724
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADDISMIND PLLC
Practice address
1106 N State Highway 360 Ste 300
Grand Prairie, TX 75050-2511
Phone
(817) 752-4613
Fax
(917) 382-2534
NPI assigned
Sep 10, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Hanna Araya, MSN, APRN, PMHNP-BC
Title
Owner of Entity
Phone
(817) 752-4613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1106 N State Highway 360 Ste 300
Grand Prairie, TX 75050-2511

Mailing address

4709 Exposition Way
Fort Worth, TX 76244-6094
Phone (817) 752-4613

National Provider Directory

National Provider Directory

Locations

2900 W Park Row Dr
Ste C
Pantego, TX 76013
Phone (214) 483-1993

Practitioners & affiliated clinicians

Practitioners 3

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": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1639848724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 EXPOSITION WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446094",
            "telephone_number": "817-752-4613",
            "fax_number": "917-382-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N STATE HIGHWAY 360 STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502511",
            "telephone_number": "817-752-4613",
            "fax_number": "917-382-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISMIND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "ARAYA",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "817-752-4613",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.