PSYCH MD PLLC NPI 1609240977

NPI Information

  • NPI: 1609240977
  • Provider Name: PSYCH MD PLLC
  • Classification: Psychiatry & Neurology - 2084B0040X
  • Specialization: Behavioral Neurology & Neuropsychiatry
  • Entity Type: Organization
  • Address: 4425 PLANO PKWY STE 1401
    CARROLLTON, TX
    ZIP 75010
  • Phone: (214) 888-7711

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NPI Details

PSYCH MD PLLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Carrollton, TX. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. PSYCH MD PLLC NPI is 1609240977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4425 PLANO PKWY STE 1401
CARROLLTON, TX
ZIP 75010-036
Phone: (214) 888-7711

The provider's authorized official is Djillali Boudjenah .
The authorized official title is Ceo and has the following contact phone number (917) 336-8422.

The enumeration date for this NPI number is 11/24/2015 and was last updated on 3/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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