NPIMap

Organization Active NPI

Mind Matters Psychiatry PLLC

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1972378651
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND MATTERS PSYCHIATRY PLLC
Practice address
204 Bella Katy Dr
Katy, TX 77494
Phone
(346) 306-2830
NPI assigned
Nov 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Prashant Gajwani, MDNPI 1770509283
Title
Owner
Phone
(346) 306-2830

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

204 Bella Katy Dr
Katy, TX 77494

Mailing address

PO Box 17256
Sugar Land, TX 77496-7256
Phone (346) 306-2830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218004349 TX Part B Supplier - Clinic/Group Practice 0547610438 Receives reassigned benefits from 9 practitioners
Practice locations: Katy, TX; Missouri City, TX

National Provider Directory

National Provider Directory

Locations

204 Bella Katy Dr
Katy, TX 77494
Phone (346) 306-2830

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1972378651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17256",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774967256",
            "telephone_number": "346-306-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BELLA KATY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "346-306-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "GAJWANI",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-306-2830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.