Organization Active NPI

Mercy Psychiatry Inc

  • Geriatric Psychiatry Physician
  • Fort Worth, TX
National Provider Identifier
1851870711
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
MERCY PSYCHIATRY INC
Practice address
4941 Golden Triangle Blvd Ste 911
Fort Worth, TX 76244-4480
Phone
(817) 779-3716
Fax
(817) 506-3569
NPI assigned
Aug 11, 2018
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Medhat Guirguis, MDNPI 1689995649
Title
Psychiatrist
Phone
(817) 779-3716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X NU Primary

Addresses

Primary practice location

4941 Golden Triangle Blvd Ste 911
Fort Worth, TX 76244-4480

Mailing address

PO Box 93161
Southlake, TX 76092-1161
Phone (817) 779-3716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181025002720 TX Part B Supplier - Clinic/Group Practice 2264785948 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2316345Mercy Psychiatry Inc4941 Golden Triangle Blvd Ste 911, Fort Worth, TX 76244Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

4941 Golden Triangle Blvd
Ste 911
Fort Worth, TX 76244
Phone (817) 779-3716

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1851870711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93161",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921161",
            "telephone_number": "817-779-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 GOLDEN TRIANGLE BLVD STE 911",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444480",
            "telephone_number": "817-779-3716",
            "fax_number": "817-506-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-11",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "817-779-3716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.