Molina Psychiatric Associates PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MOLINA PSYCHIATRIC ASSOCIATES PA

Practice address

17300 Dallas Pkwy Ste 1005
Dallas, TX 75248-1145

Phone

(817) 873-0595

Fax

(817) 873-0596

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Shaun Richardson

Title

Managed Care Coordinator

Phone

(817) 873-0595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Rodolfo Molina, M.D.

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1083619605
  Medicare reassignment NPD
• Kameelah Abdul-Aziz, PMNHP

  • Psychiatric/Mental Health Nurse Practitioner
  • Southlake, TX
  • NPI 1518635291
  NPD (past)
• Adjoa Kwatemaa Asare, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1528584794
  NPD (past)
• Rebecca Tess Birdsall

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1346750932
  NPD (past)
• Jeanne Marie Blakeslee, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Southlake, TX
  • NPI 1265907414
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1831756303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY STE 1005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481145",
            "telephone_number": "817-873-0595",
            "fax_number": "817-873-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY STE 1005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481145",
            "telephone_number": "817-873-0595",
            "fax_number": "817-873-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA PSYCHIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "817-873-0595"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molecular Innovations Neo-Designs Laboratories, LLC
• Molecular Solutions Lab LLC
• Richard Benjamin Moleno, D.O.
• Nicole M. Moler, ACNP
• Anaia Daveigh Moliere
• Juan Antonio Molina, RN
• Kelly Molina, PHARMD
• Mauro Alberto Molina, CRNA
• Rodolfo Molina, M.D.
• Samantha Alicia Molina, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.