Ai Psychiatry PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AI PSYCHIATRY PA

Practice address

2118 E State Highway 114
Southlake, TX 76092-6512

Phone

(515) 745-6288

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Adnan Iqbal, MDNPI 1376652206

Title

Owner

Phone

(917) 336-8422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Adnan Iqbal, MD

  • Psychiatry Physician
  • Harris, NY
  • NPI 1376652206

  TX

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1831706100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BOULDER DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923726",
            "telephone_number": "817-960-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926512",
            "telephone_number": "515-745-6288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5560 Mesa Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761232120",
            "country_code": "US",
            "telephone_number": "817-398-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AI PSYCHIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-336-8422",
        "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": []
}

• Cristina Aguayo
• Martha Aguirre
• Rene Eduardo Aguirre, DDS
• Christine Agwaife, PHARMD
• Tahmid Ahmad, RBT
• Mallory Aiman, RBT
• Amy Airington
• Crystal Chinonye Akunne, PMHNP
• Raed Al Ajlouni, DDS
• Khaldoun F Al-Ajlouni, DDS PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.