Associates of Family Psychiatry,P.a
Organization Active NPI Child & Adolescent Psychiatry Physician · Hurst, TX
NPI 1871607192 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1871607192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- J0644 (TX)
- Legal business name
- ASSOCIATES OF FAMILY PSYCHIATRY,P.A
- Practice address
- 669 Airport Fwy
Ste 301
Hurst, TX 76053-3970 - Phone
- (817) 285-8900
- Fax
- (817) 285-8903
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Tarakumar Reddy
- Title
- President
- Phone
- (817) 285-8900
Practitioners 3
-
Tarakumar Reddy, M.D.
-
Hemant Kumar Day, M.D.
-
Craig Eugene Pannell, APRN, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051007000137 | TX | Part B Supplier - Clinic/Group Practice | 2668497827 |
Receives reassigned benefits from 1 practitioner Practice locations: Arlington, TX |
National Provider Directory
Locations
801 Road To Six Flags W
Ste 125
Arlington, TX 76012
Phone (817) 460-1800
669 Airport Fwy
Ste 301
Hurst, TX 76053
Phone (817) 285-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician |
2084P0804X | J0644 | TX | Yes |
Addresses
Primary practice location
669 Airport Fwy
Ste 301
Hurst, TX 76053-3970
Mailing address
669 Airport Fwy
Ste 301
Hurst, TX 76053-3970
Phone (817) 285-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0028LX | Other | TX | BCBS GROUP NUMBER |
Other providers in Hurst, TX
- Vanessa Renee Armenda
- Laura Guadalupe Arredondo
- Candace Maia Artym
- Justin Scott Ashton
- Aspire Chiropractic PLLC
- Assureone Health Services
- Caitlin Atkinson
- Atlas Surgical Neuromonitoring, PLLC
- Christine Aubert
- Autism Complete Care Inc
All providers in Hurst, TX · Child & Adolescent Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.