Individual provider Active NPI

Manuel Andres Guillen, M.D.

  • Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1871819219
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R8905 Issued in TX
Practice address
3223 S Loop 289
Suite 600 (Private Office 630)
Lubbock, TX 79423
Phone
(833) 351-8255
Fax
(888) 815-3583
NPI assigned
Apr 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 342931 NY
Psychiatry Physician 2084P0800X R8905 TX Primary
Psychiatry Physician 2084P0800X E-9508 AR

Addresses

Primary practice location

3223 S Loop 289
Suite 600 (Private Office 630)
Lubbock, TX 79423

Mailing address

109 W 27TH St
Suite 5S
New York, NY 10001

Other practice location 1

109 W 27th St.
Suite 5S
New York, NY 10001
Phone (833) 351-8255

Other practice location 2

400 West Capitol Avenue
Suite 1700 (Office 1705)
Little Rock, AR 72201
Phone (833) 351-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160422001532 AR Practitioner - Psychiatry 2163640392 Reassigns benefits to 1 organization
I20190501002989 TX Practitioner - Psychiatry 2163640392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ajinder S. Dhatt, MD, P.a.Group PAC ID 2769567932, 10 clinicians

Practice addresses (Care Compare)

7825 Hwy 6 N
Suite 104
Houston, TX 77095-1734
Phone (281) 469-2181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342931NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions TX PA Psychiatry CurrentSince Apr 13, 2023 Accepting new patients
Texarkana Behavioral Associates LC Psychiatry CurrentSince Jan 1, 2018 Accepting new patients
Texarkana Behavioral Associates, L.C. CurrentSince Jan 1, 2018 Accepting new patients
Ajinder S. Dhatt, MD, P.a. Psychiatry CurrentSince Oct 1, 2024 Accepting new patients
Cyfair Psychiatry PA CurrentSince Oct 1, 2024 Accepting new patients
Texarkana Behavioral Associates, L.C. Current Accepting new patients

Locations

815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740

10301 Mayo Dr
Barling, AR 72923
Phone (479) 494-5760

4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496

1200 Binz St
Ste 480
Houston, TX 77004
Phone (713) 521-0039

7825 Highway 6 N
Ste 104
Houston, TX 77095
Phone (281) 469-2181

9601 Jones Rd
Ste 238
Houston, TX 77065
Phone (281) 253-9915

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1871819219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST",
            "address_2": "SUITE 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 S LOOP 289",
            "address_2": "SUITE 600 (PRIVATE OFFICE 630)",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79423",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St.",
            "address_2": "Suite 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10001",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 West Capitol Avenue",
            "address_2": "Suite 1700 (Office 1705)",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72201",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "MANUEL",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "342931",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R8905",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-9508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.