Organization Active NPI

Jay Italiya, MD, PLLC

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1699485284
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JAY ITALIYA, MD, PLLC
Practice address
13747 Montfort Dr Ste 320
Dallas, TX 75240-4454
Phone
(972) 200-2426
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Jay Bhagwan Italiya, MDNPI 1194221606
Title
Psychiatrist
Phone
(214) 458-3608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

13747 Montfort Dr Ste 320
Dallas, TX 75240-4454

Mailing address

3916 Tumbril LN
Plano, TX 75023-5713

Other practice location 1

5200 Tennyson Pkwy
Plano, TX 75024-7151
Phone (469) 361-0467

Other names 1

  • Cultivate Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

13747 Montfort Dr
Ste 320
Dallas, TX 75240
Phone (469) 327-8188

5200 Tennyson Pkwy
Plano, TX 75024
Phone (469) 361-0467

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1699485284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 TUMBRIL LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404454",
            "telephone_number": "972-200-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Tennyson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750247151",
            "country_code": "US",
            "telephone_number": "469-361-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAY ITALIYA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "ITALIYA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "BHAGWAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "214-458-3608",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivate Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cultivate Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.