Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amna Fouzia Mallick, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619853231

Amna Fouzia Mallick, PMHNP is a Nurse Practitioner in Richardson, Texas. Qualified in 2024, 2 years ago. Practices with Premier Pain Centers PA, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Texas.

Years since qualifying
2
Licensed in
MI, TX
In the registry since
2025
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2071 N Collins Blvd Ste 100
Richardson, TX 75080-2696
Phone: (469) 562-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8528 N Canton Center Rd, Canton, MI 48187-1310 — (313) 675-6999

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1193345 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704364521 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2025023779 (TX)

Record details

NPI number1619853231
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Pain Centers Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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