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

Jake Ryan Fields

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649911249

Jake Ryan Fields is a Psychiatry in Fort Worth, Texas. Graduated from Baylor College of Medicine in 2022, 4 years ago. Licensed in Texas.

Years since qualifying
4
Trained at
Baylor College of Medicine
Licensed in
TX
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-3636
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence U6953 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649911249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address200 W Magnolia Ave Ste 201, Suite 201, Fort Worth, TX 76104-7657

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Fort Worth