Provider Demographics
NPI:1467686089
Name:NORTH POINTE PSYCHIATRY, PA
Entity Type:Organization
Organization Name:NORTH POINTE PSYCHIATRY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:UL
Authorized Official - Last Name:ISLAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-444-2244
Mailing Address - Street 1:2201 LONG PRAIRIE RD STE 107
Mailing Address - Street 2:MAIL BOX 391
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4964
Mailing Address - Country:US
Mailing Address - Phone:469-444-2244
Mailing Address - Fax:214-488-1200
Practice Address - Street 1:860 HEBRON PKWY
Practice Address - Street 2:UNIT # 1101
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5151
Practice Address - Country:US
Practice Address - Phone:469-444-2244
Practice Address - Fax:214-488-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty