EAST TEXAS PSYCHIATRY ASSOCIATES
NPI 1790832749
Psychiatry & Neurology - Child & Adolescent Psychiatry in Longview, TX

Q: What is East Texas Psychiatry Associates's NPI number?

The NPI number for East Texas Psychiatry Associates is 1790832749. It was assigned to this organization in the NPPES registry on January 4, 2007.

Q: What is East Texas Psychiatry Associates's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since January 04, 2007

22 BERMUDA LN, LONGVIEW, TX 75605(903) 297-6500(903) 663-1085 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About East Texas Psychiatry Associates NPPES

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

EAST TEXAS PSYCHIATRY ASSOCIATES (NPI 1790832749) is a healthcare organization registered as a child & adolescent psychiatry in Longview, Texas and active in the NPI registry since January 2007. The organization lists Shahrokh Safarimaryaki, Owner, as its authorized official.

NPPES Registry Identity

NPI1790832749

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NameEAST TEXAS PSYCHIATRY ASSOCIATES

Location Address22 BERMUDA LNLongview, TX 75605-2902

Mailing AddressPo Box 5329Longview, TX 75608-5329 · (903) 297-6500 · Fax (903) 663-1085

Phone(903) 297-6500

Fax(903) 663-1085

Organization SubpartNo

Authorized OfficialShahrokh SafarimaryakiOwner · (903) 297-6500

Enumeration DateJanuary 4, 2007

Last NPPES UpdateSeptember 19, 2008

✔ NPI 1790832749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

22 BERMUDA LN, Longview, TX 75605

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Other Identifiers 3

Other0098KZTX · Bcbs

Medicare ID-Type Unspecified00169YTX

Medicaid171015401TX

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

Other Providers at the Same Location NPPES 6

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

MARY ANN GAMEL MSN, FNP-BC

Nurse Practitioner (Family)