COMPASSIONATE PSYCHIATRIC SERVICES OF SOUTHLAKE
NPI 1295561801
Psychiatry & Neurology - Neurology in Southlake, TX

Q: What is Compassionate Psychiatric Services Of Southlake PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since September 10, 2024CLIA 45D2245428 · Waiver

281 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(469) 200-4093(469) 200-4079 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Sep 10, 2024 (2 updates tracked since 2024).

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About Compassionate Psychiatric Services Of Southlake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPASSIONATE PSYCHIATRIC SERVICES OF SOUTHLAKE (NPI 1295561801) is a healthcare organization registered as a neurology in Southlake, Texas and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Nazimuddin Mohammed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295561801

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameCOMPASSIONATE PSYCHIATRIC SERVICES OF SOUTHLAKE PA

Location Address281 W SOUTHLAKE BLVDSouthlake, TX 76092-7052

Mailing Address281 W Southlake BlvdSouthlake, TX 76092-7052 · (469) 200-4093 · Fax (469) 200-4079

Phone(469) 200-4093

Fax(469) 200-4079

Organization SubpartNo

Authorized OfficialNazimuddin MohammedCeo · (217) 750-3053

Enumeration DateSeptember 10, 2024

Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1295561801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

281 W SOUTHLAKE BLVD, Southlake, TX 76092

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Other Names 1

Doing Business AsCompassionate Psychiatric Services Of Southlake

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2245428

Copmassionate Psychiatric Services · Frisco, TX

Active · expires Dec 12, 2027

CLIA Number45D2245428

Laboratory TypePhysician Office

Certificate Effective DateDecember 13, 2025

Certificate Expiration DateDecember 12, 2027

Laboratory DirectorNazimuddin Mohammed

Laboratory Phone(469) 200-4093

Laboratory LocationCopmassionate Psychiatric Services11500 State Hwy 121 Suite 510, Frisco, TX 75035

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUFUNKE DEBORAH OLUDIPE

Nurse Practitioner (Psychiatric/Mental Health)