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ELLEN FAN M D P A
NPI 1467890178
Psychiatry & Neurology - Geriatric Psychiatry in Dallas, TX

Active since June 05, 2013
8240 MANDERVILLE LN, DALLAS, TX 75231(972) 769-8572(972) 769-8591 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Fan M D P A NPPES

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

ELLEN FAN M D P A (NPI 1467890178) is a healthcare organization registered as a geriatric psychiatry in Dallas, Texas and active in the NPI registry since June 2013. The organization lists Ellen Fan, Physician, as its authorized official.

NPPES Registry Identity

NPI1467890178
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameELLEN FAN M D P A
Location Address8240 MANDERVILLE LNDallas, TX 75231-1104
Mailing Address3308 Preston Rd, Suite 350 Box 242Plano, TX 75093-7453 · (972) 769-8572 · Fax (972) 769-8591
Phone(972) 769-8572
Fax(972) 769-8591
Organization SubpartNo
Authorized OfficialEllen FanPhysician · (972) 769-8572
Enumeration DateJune 5, 2013
Last NPPES UpdateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1467890178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in TX · K8897
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
8240 MANDERVILLE LN, Dallas, TX 75231
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Other Identifiers 1

Medicaid179654201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Fan M D P A's NPI number?

The NPI number for Ellen Fan M D P A is 1467890178. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Ellen Fan M D P A located?

Ellen Fan M D P A is located at 8240 Manderville Ln, Dallas, TX 75231. The listed phone number is (972) 769-8572.

What is Ellen Fan M D P A's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Ellen Fan M D P A was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.