NPI age
13 years
Enumerated 2012-07-08
● Active
Type 1 · Individual
Matthew Nan Fan, MD
Fan is 1 of 125 psychiatry & neurology providers in Fort Worth and 1 of 4391 in Texas.
Primary specialty
Psychiatry & Neurology
Plus 2 subspecialties
Licensed in
TX, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4391 active psychiatry & neurology providers in Texas.
NPI age
13 years
↓ 3 yr below median (16 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-07Enumerated in NPPES
2012
2026
Where they practice
Practice location
855 Montgomery St
Fort Worth, TX 761072553
Mailing address
Po Box 99335
Fort Worth, TX 761990335
Specialties
-
Psychiatry & Neurology PrimaryA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
-
Psychiatry & NeurologyChild & 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8ER294 | BCBS |
| 05 (TX) | 340717301 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 237 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new psychiatry & neurology provider has been added in Fort Worth in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.