GRAND PRAIRIE PROFESSIONAL GROUP, P. A. – NPI #1871850750
Psychiatry & Neurology

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

GRAND PRAIRIE PROFESSIONAL GROUP, P. A. is a psychiatry & neurologist located in GRAND PRAIRIE, TX. NPPES has assigned the NPI number 1871850750 to GRAND PRAIRIE PROFESSIONAL GROUP, P. A. on April 18, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0802X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Psychiatry

The NPI profile was previously updated about 5 years ago on Aug 25, 2021. 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 GRAND PRAIRIE PROFESSIONAL GROUP, P. A. below.

NPI Profile for
GRAND PRAIRIE PROFESSIONAL GROUP, P. A.

NPI Number
1871850750
Enumeration Date

(more than 14 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
GRAND PRAIRIE PROFESSIONAL GROUP, P. A.
Primary location
1171 107TH ST
GRAND PRAIRIE, TX 75050-2502
Phone: (615) 727-8387 Fax: (615) 457-8094
Mailing address
200 POWELL PL
ATTN: LEGAL DEPARTMENT
BRENTWOOD, TN 37027-7514
Phone: (615) 732-1605 Fax:
Organization Subpart
No
Authorized Official
MARK CALARCO
FACILITY CEO
Phone: (615) 712-5862
Updated
Certification Date
Aug 25, 2021

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
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry (Primary)
TX E1948

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.