Provider Demographics
NPI:1912875675
Name:BIRDSONG PSYCHIATRY AND WELLNESS
Entity type:Organization
Organization Name:BIRDSONG PSYCHIATRY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FUSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:214-926-3414
Mailing Address - Street 1:608 GOLDENROD LN
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-2999
Mailing Address - Country:US
Mailing Address - Phone:214-926-3414
Mailing Address - Fax:
Practice Address - Street 1:608 GOLDENROD LN
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-2999
Practice Address - Country:US
Practice Address - Phone:214-926-3414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty