Active NPI
Michael Joseph Madigan, M.D., PH.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1821291766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G1087
- Practice address
- 5646 Milton St.
Suite 336
Dallas, TX 75206 - Phone
- (214) 704-1004
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G1087 | TX | Primary |
Addresses
Primary practice location
5646 Milton St.
Suite 336
Dallas, TX 75206
Mailing address
3240 Milton Ave
Dallas, TX 75205-1458
Phone (214) 704-1004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1087 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821291766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 MILTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752051458",
"telephone_number": "214-704-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5646 MILTON ST.",
"address_2": "SUITE 336",
"city": "DALLAS",
"state": "TX",
"postal_code": "75206",
"telephone_number": "214-704-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADIGAN",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G1087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.