NPIMap

Organization Active NPI

Tri City Psychiatric Services, P.a.

  • Psychiatry Physician
  • Arlington, TX
National Provider Identifier
1770764466
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M7783 Issued in TX
Legal business name
TRI CITY PSYCHIATRIC SERVICES, P.A.
Practice address
3600 S Cooper St
#100
Arlington, TX 76015-3405
Phone
(817) 200-6680
NPI assigned
Nov 21, 2007
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Wasiq Ali Zaidi, M.D.NPI 1710920715
Title
President
Phone
(405) 473-7661

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Counselor 101Y00000X NU
Psychiatry Physician 2084P0800X M7783 TX Primary

Addresses

Primary practice location

3600 S Cooper St
#100
Arlington, TX 76015-3405

Mailing address

PO Box 541177
Grand Prairie, TX 75054-1177
Phone (817) 200-6680

Other identifiers 2

IdentifierTypeStateIssuer
0070QUOtherTXBCBS
DO4480OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000763 TX Part B Supplier - Clinic/Group Practice 6709950314 Receives reassigned benefits from 9 practitioners
Practice locations: Decatur, TX; Weatherford, TX; Fort Worth, TX; Arlington, TX

National Provider Directory

National Provider Directory

Locations

3600 S Cooper St
Ste 100
Arlington, TX 76015
Phone (817) 200-6680

5901 S Cooper St
Ste 131
Arlington, TX 76017
Phone (817) 200-6680

800 W Arbrook Blvd
Ste 100
Arlington, TX 76015
Phone (817) 200-6680

4232 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 200-6680

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1770764466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541177",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750541177",
            "telephone_number": "817-200-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S COOPER ST",
            "address_2": "#100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153405",
            "telephone_number": "817-200-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY PSYCHIATRIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "WASIQ",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-473-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M7783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0070QU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DO4480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.