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IDELL PSYCHIATRY NPI 1659041093


NPI Information

NPI: 1659041093
Provider Name: IDELL PSYCHIATRY
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
3500 OAK LAWN AVE STE 300
DALLAS, TX
ZIP 75219
Phone: (972) 709-1961
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IDELL PSYCHIATRY is a child and adolescent psychiatry psychiatry neurology in Dallas, TX. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. IDELL PSYCHIATRY NPI is 1659041093. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 OAK LAWN AVE STE 300
DALLAS, TX
ZIP 75219-349
Phone: (972) 709-1961
Fax: (972) 283-1689

The provider's authorized official is Richard David Idell .
The authorized official title is Psychiatrist and has the following contact phone number (972) 709-1961.

The enumeration date for this NPI number is 9/16/2021 and was last updated on 9/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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: 4/28/2024

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