ELITE PSYCHIATRY PC NPI 1952888265

NPI Information

  • NPI: 1952888265
  • Provider Name: ELITE PSYCHIATRY PC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Former Legal Business Name: ELITE PSYCHIATRY PC
  • Address: 3901 ARLINGTON HIGHLANDS BLVD STE 200
    ARLINGTON, TX
    ZIP 76018
  • Phone: (817) 695-5035

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NPI Details

ELITE PSYCHIATRY PC is a psychiatry psychiatry neurology in Arlington, TX. The provider is 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. ELITE PSYCHIATRY PC NPI is 1952888265. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Elite Psychiatry Pc.

The provider's business location address is:

3901 ARLINGTON HIGHLANDS BLVD STE 200
ARLINGTON, TX
ZIP 76018-050
Phone: (817) 695-5035
Fax: (817) 695-5037

The provider's authorized official is Raven Elliott Modisette .
The authorized official title is C.e.o and has the following contact phone number (817) 695-5035.

The enumeration date for this NPI number is 7/20/2018 and was last updated on 5/16/2020.

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
12084P0802XPsychiatry & NeurologyAddiction PsychiatryM9770TEXASNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
3363LF0000XNurse PractitionerFamilyNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP137299OTHERTEXASAPRN LICENSE NUMBER
2M9770OTHERTEXASTX MEDICAL BOARD

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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