Individual provider Active NPI

Anitha Paul Mathew

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1841057809
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1136717 Issued in TX
Practice address
4817 Medical Center Dr
Ste 3B
McKinney, TX 75069
Phone
(405) 822-2136
NPI assigned
Mar 5, 2024
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1136717 TX Primary

Addresses

Primary practice location

4817 Medical Center Dr
Ste 3B
McKinney, TX 75069

Mailing address

285 Morning Fog LN
Sunnyvale, TX 75182-2611

Other identifiers 1

IdentifierTypeStateIssuer
497155808MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250207002469 TX Practitioner - Nurse Practitioner 0143756312 Reassigns benefits to 2 organizations
I20251106002674 NM Practitioner - Nurse Practitioner 0143756312 Reassigns benefits to 2 organizations
I20251122000984 OK Practitioner - Nurse Practitioner 0143756312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1407 N Robinson Ave
Oklahoma City, OK 73103-4823
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

9310 Coors Blvd NW
Albuquerque, NM 87114-4006
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jan 31, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 31, 2025 Accepting new patients

Locations

5000 Cutler Ave NE
Ste A
Albuquerque, NM 87110
Phone (505) 227-7434

9310 Coors Blvd NW
Albuquerque, NM 87114
Phone (505) 431-1900

1407 N Robinson Ave
Oklahoma City, OK 73103
Phone (405) 232-8000

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8241

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

4817 Medical Center Dr
Ste 3B
McKinney, TX 75069
Phone (405) 822-2136

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1841057809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MORNING FOG LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751822611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 MEDICAL CENTER DR",
            "address_2": "STE 3B",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "405-822-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ANITHA",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1136717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497155808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.