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NPI Code Detail

MEDICARE: MIND HAVEN PSYCHIATRY PLLC

MEDICARE: MIND HAVEN PSYCHIATRY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1588526040
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIND HAVEN PSYCHIATRY PLLC
Provider Business Mailing Address
First Line : 6255 W NORTHWEST HWY APT 608
Second Line :
City : DALLAS
State : TX
Zip : 75225-3588
Country : US
Telephone Number : 469-209-9161
Fax Number :
Provider Business Practice Location Address
First Line : 5050 QUORUM DR STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75254-1410
Country : US
Telephone Number : 469-209-9161
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIST
Name : RISHI PATEL
Credential : DO
Telephone Number : 469-209-9161
Provider Enumeration Date : 12/02/2025
Last Update Date : 01/12/2026

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Directions to “MIND HAVEN PSYCHIATRY PLLC ” Practice Location

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