Psychiatric Associates of McKinney

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHIATRIC ASSOCIATES OF MCKINNEY

Practice address

1650 W Virginia St Ste 202
McKinney, TX 75069-7703

Phone

(972) 542-5980

Fax

(972) 542-5490

NPI assigned

Oct 3, 2018

Organization subpart

Yes

Parent organization

PSYCHIATRIC ASSOCIATES OF MCKINNEYAs reported in NPPES

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

Authorized official

Name

Lloyd Bellah, MDNPI 1770575177

Title

Owner

Phone

(972) 542-5980

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Psychiatric Associates of McKinney

Locations

Practitioners 2

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

• Lloyd Dewayne Bellah, MD

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1770575177

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Alycia A. Bellah, PH.D.

  • Clinical Psychologist
  • McKinney, TX
  • NPI 1568421493
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1710462932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W VIRGINIA ST STE 202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697703",
            "telephone_number": "972-542-5980",
            "fax_number": "972-542-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W VIRGINIA ST STE 202",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697703",
            "telephone_number": "972-542-5980",
            "fax_number": "972-542-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF MCKINNEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHIATRIC ASSOCIATES OF MCKINNEY",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "BELLAH",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-542-5980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Francis Prudich, M.D.
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• Jeana Christine Pullen, LPC

• Psychiatry Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.