Individual provider Active NPI

Madeline Andrew, M.D.

  • Psychiatry Physician
  • Irving, TX
National Provider Identifier
1861619538
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J3276 Issued in TX
Practice address
511 E John Carpenter Fwy Ste 500
Irving, TX 75062-8138
Phone
(214) 265-6565
Fax
(707) 581-2020
NPI assigned
Apr 20, 2007
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J3276 TX Primary

Addresses

Primary practice location

511 E John Carpenter Fwy Ste 500
Irving, TX 75062-8138

Mailing address

401 N Carroll Ave # 586
Southlake, TX 76092-6407
Phone (415) 480-9019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J3276TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kivela Medical, PLLC (Dba:the Medical Associates) Psychiatry Current Accepting new patients
Contra Costa County Past Accepting new patients

Locations

511 E John Carpenter Fwy
Ste 500
Irving, TX 75062
Phone (214) 636-5393

401 N Carroll Ave
Southlake, TX 76092
Phone (214) 517-7155

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1861619538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N CARROLL AVE # 586",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926407",
            "telephone_number": "415-480-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E JOHN CARPENTER FWY STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628138",
            "telephone_number": "214-265-6565",
            "fax_number": "707-581-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "MADELINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.