Active NPI
Heritage Psychiatry PA
- Psychiatry Physician
- McKinney, TX
National Provider Identifier
1720122161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L4719
- Legal business name
- HERITAGE PSYCHIATRY PA
- Practice address
- 2300 White Ave Ste 106
McKinney, TX 75071-3133 - Phone
- (972) 562-4755
- Fax
- (972) 562-4765
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gayatri Singh, M.D.
- Title
- Director
- Phone
- (972) 562-4755
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L4719 | TX | Primary |
Addresses
Primary practice location
2300 White Ave Ste 106
McKinney, TX 75071-3133
Mailing address
2300 White Ave Ste 106
McKinney, TX 75071-3133
Phone (972) 562-4755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004NR | Other | TX | BCBS TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2300 W White Ave
Ste 106
McKinney, TX 75071
Phone (972) 562-4755
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- McKinney, TX
- NPI 1396880316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1720122161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WHITE AVE STE 106",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750713133",
"telephone_number": "972-562-4755",
"fax_number": "972-562-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WHITE AVE STE 106",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750713133",
"telephone_number": "972-562-4755",
"fax_number": "972-562-4765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE PSYCHIATRY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "GAYATRI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "972-562-4755",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L4719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "0004NR",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.