| Jahi Kashka Anderson, MD | |
|
7808 Clodus Fields Dr, Dallas, TX 75251-2206 | |
| (972) 770-1032 | |
| Not Available |
| Full Name | Jahi Kashka Anderson |
|---|---|
| Gender | Male |
| Speciality | Psychiatric Hospital |
| Location | 7808 Clodus Fields Dr, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295069573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD438403 (Pennsylvania) | Secondary |
| 283Q00000X | Psychiatric Hospital | N5533 (Texas) | Primary |
| Entity Name | Emergency Psychiatric Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558538520 PECOS PAC ID: 2860560059 Enrollment ID: O20080930000824 |
| Entity Name | Mindcare Solutions Of Texas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396290730 PECOS PAC ID: 5597173088 Enrollment ID: O20210422000245 |
| Entity Name | Dreamwork Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336815620 PECOS PAC ID: 3375932635 Enrollment ID: O20211109000270 |
| Entity Name | Harmony Road Recovery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952022337 PECOS PAC ID: 2567831282 Enrollment ID: O20221219002556 |
| Entity Name | Dream Work Ic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669178364 PECOS PAC ID: 0345613972 Enrollment ID: O20230302000956 |
| Entity Name | Doctor On Demand Professionals P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20230911004112 |
| Mailing Address | Practice Location Address |
|---|---|
| Jahi Kashka Anderson, MD 7808 Clodus Fields Dr, Dallas, TX 75251-2206 Ph: (972) 770-1032 | Jahi Kashka Anderson, MD 7808 Clodus Fields Dr, Dallas, TX 75251-2206 Ph: (972) 770-1032 |