Legacy Psychiatric Consultants, PLLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

J8977 Issued in TX

Legal business name

LEGACY PSYCHIATRIC CONSULTANTS, PLLC

Practice address

5045 Lorimar Dr Ste 290
Plano, TX 75093-5721

Phone

(972) 403-1463

Fax

(972) 403-1465

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David W Crumpacker, M.D.

Title

Owner

Phone

(972) 403-1463

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1841506789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR STE 290",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935721",
            "telephone_number": "972-403-1463",
            "fax_number": "972-403-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR STE 290",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935721",
            "telephone_number": "972-403-1463",
            "fax_number": "972-403-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PSYCHIATRIC CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "CRUMPACKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-403-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "J8977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Plano, TX
• Providers in Plano, TX by specialty
• Geriatric Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.