Individual provider Active NPI

Diana Khoa Nguyen, DO

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1699304568
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T8002 Issued in TX
Practice address
4701 Samuell Blvd
Dallas, TX 75228-6828
Phone
(972) 861-5611
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 T8002 TX Primary

Addresses

Primary practice location

4701 Samuell Blvd
Dallas, TX 75228-6828

Mailing address

6206A Clovis St
Austin, TX 78741-2300
Phone (469) 644-8321

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
I20250625003758 TX Practitioner - Psychiatry 9739691544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Mental Health and Mental Retardation CenterGroup PAC ID 2062308091, 68 clinicians

Practice addresses (Care Compare)

4701 Samuell Blvd
Dallas, TX 75228-6828
Phone (214) 743-6159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T8002TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince Apr 25, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Apr 25, 2025 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Jun 2, 2025 Accepting new patients
Dallas County Mental Health & Mental Retardation Center Psychiatry CurrentSince Aug 4, 2025 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

1380 River Bend Dr
Dallas, TX 75247
Phone (214) 743-1272

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

4701 Samuell Blvd
Dallas, TX 75228
Phone (214) 381-7070

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

Interoperability endpoints

  • Direct secure messaging: diana.nguyen.1@8363.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1699304568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206A CLOVIS ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787412300",
            "telephone_number": "469-644-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SAMUELL BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752286828",
            "telephone_number": "972-861-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIANA",
        "middle_name": "KHOA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.