MEDICARE: INLAND PSYCHIATRIC MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	1041C0700X	Clinical Social Worker
4	106H00000X	Marriage & Family Therapist
5	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1821965286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INLAND PSYCHIATRIC MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	3174 S RIDGE RD STE 250
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-3811
Country	:	US
Telephone Number	:	909-289-4075
Fax Number	:	909-363-8233

Provider Business Practice Location Address
First Line	:	3174 S RIDGE RD STE 250
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-3811
Country	:	US
Telephone Number	:	945-351-0030
Fax Number	:	945-221-7957

Authorized Official
Title or Position	:	CEO
Name	:	SYAM P KUNAM
Credential	:	MD
Telephone Number	:	909-289-4075

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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