SBN Professional Psychiatry Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SBN PROFESSIONAL PSYCHIATRY CORP

Practice address

3025 E. Renner Road
#120
Richardson, TX 75082

Phone

(972) 295-9008

Fax

(972) 688-6169

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bushra Aziz, MDNPI 1730392549

Title

Ceo

Phone

(214) 320-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

SBN Professional Psychiatry Coorporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SBN Professional Psychiatry Coorporation

  • Psychiatric Hospital
  • Garland, TX
  • NPI 1154681740
  NPD tax ID

Practitioners 1

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

• Bushra Aziz, MD

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1730392549
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654992000000",
    "number": "1750765368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 E. RENNER ROAD",
            "address_2": "#120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-295-9008",
            "fax_number": "972-688-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 E. RENNER ROAD",
            "address_2": "#120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-295-9008",
            "fax_number": "972-688-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBN PROFESSIONAL PSYCHIATRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "BUSHRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-320-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myreesha Rachelle Savage, BCBA
• Kala S Savanich, CNIM, REPT
• Tarek Sawas, M.D.
• Muzamil Sayeed
• Sbates Creates, LLC
• Nancy A Scena, BCBA, LBA
• Kylee Schelin
• Cassandra Anne Schellhase
• Kara Kay Schiele, LPC
• Michelle Schiele, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.