Maryrita Kaiser Mallet,MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J4322 Issued in TX

Legal business name

MARYRITA KAISER MALLET,MD PA

Practice address

116 Santa Fe Dr
Weatherford, TX 76086-6548

Phone

(817) 613-1942

Fax

(817) 341-3882

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Maryrita Kaiser Mallet, MD PANPI 1366478182

Title

President

Phone

(817) 613-1942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryrita K Mallet, MD

  • Psychiatry Physician
  • Weatherford, TX
  • NPI 1366478182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1962680389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1976",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760867976",
            "telephone_number": "817-613-1942",
            "fax_number": "817-341-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866548",
            "telephone_number": "817-613-1942",
            "fax_number": "817-341-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYRITA KAISER MALLET,MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "MALLET",
        "authorized_official_first_name": "MARYRITA",
        "authorized_official_middle_name": "KAISER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-613-1942",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J4322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Clyde Martin, MD
• Ingrid Martin
• Jaylee Martin
• Madison Martinez, DC
• Mary Ann Brown & Associates
• Audra Mathis, LPC
• Sandra Mauldin, PT
• Maxim Diagnostic Center, LLC
• Amanda Lynn-Kennedy Mays
• Trisha Leigh McAda, LMFT

• Psychiatry Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.