Individual provider Active NPI

Mayanaz Syeda-Mian, M.D.

  • Psychiatry Physician
  • Carrollton, TX
National Provider Identifier
1649338625
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L5582 Issued in TX
Practice address
4009 Old Denton Rd
114-199
Carrollton, TX 75007-1000
Phone
(972) 855-8860
Fax
(682) 200-2850
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 L5582 TX Primary

Addresses

Primary practice location

4009 Old Denton Rd
114-199
Carrollton, TX 75007-1000

Mailing address

1505 Reata Dr
Carrollton, TX 75010-1153
Phone (972) 375-7821

Other identifiers 3

IdentifierTypeStateIssuer
174155501MedicaidTX
174155502MedicaidTX
8V5791OtherTXBCBS

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
I20040723000547 TX Practitioner - Psychiatry 5294715892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denton Psychiatric Associates LPGroup PAC ID 6103998430, 2 clinicians

Practice addresses (Care Compare)

120 Meadow View Dr
Justin, TX 76247-9639
Phone (972) 375-7821

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County Psychiatry CurrentSince Nov 30, 2004 Accepting new patients
Denton Psychiatric Associates, LP Psychiatry CurrentSince Mar 5, 2008 Accepting new patients

Locations

4009 Old Denton Rd
#114199
Carrollton, TX 75007
Phone (972) 855-8860

1400 S Main St
Fort Worth, TX 76104
Phone (817) 702-6926

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

120 Meadow View Dr
Justin, TX 76247
Phone (940) 648-2731

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1649338625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 REATA DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101153",
            "telephone_number": "972-375-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 OLD DENTON RD",
            "address_2": "114-199",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071000",
            "telephone_number": "972-855-8860",
            "fax_number": "682-200-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYEDA-MIAN",
        "first_name": "MAYANAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L5582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174155501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174155502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V5791",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.