SHINE MEDICAL OF TEXAS, P.A. – NPI #1154056695
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

SHINE MEDICAL OF TEXAS, P.A. is a psychiatry & neurologist located in DALLAS, TX. NPPES has assigned the NPI number 1154056695 to SHINE MEDICAL OF TEXAS, P.A. on July 19, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 4 years ago on Sep 16, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHINE MEDICAL OF TEXAS, P.A. below.

NPI Profile for
SHINE MEDICAL OF TEXAS, P.A.

NPI Number
1154056695
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHINE MEDICAL OF TEXAS, P.A.
Primary location
2911 TURTLE CREEK BLVD STE 300
DALLAS, TX 75219-6243
Phone: (909) 442-0618 Fax:
Mailing address
122 GRAND ST
NEW YORK, NY 10013-2614
Phone: Fax:
Organization Subpart
No
Authorized Official
KATHERINE CASSIDY
CLINICAL OPERATIONS ASSOCIATE
Phone: (856) 287-8167
Updated
Certification Date
Sep 16, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.