Individual provider Active NPI

Mehreen Ghanchi

  • Psychiatric/Mental Health Nurse Practitioner
  • Friendswood, TX
National Provider Identifier
1003463506
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP143243 Issued in TX
Practice address
308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989
Phone
(210) 589-0580
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP143243 TX Primary

Addresses

Primary practice location

308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989

Mailing address

308 S Friendswood Dr Ste 110
Friendswood, TX 77546-3989
Phone (844) 824-8775

Other names 1

  • Mehreen Ghanchi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024001807 TX Practitioner - Nurse Practitioner 7214269257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

8300 N Lamar Blvd
Suite 200a
Austin, TX 78753-5976
Phone (512) 782-9312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143243TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Progressive Behavioral Health, PLLC Multi-Specialty CurrentSince Sep 20, 2019 Accepting new patients

Locations

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

308 S Friendswood Dr
Ste 110
Friendswood, TX 77546
Phone (281) 317-0094

8588 Katy Fwy
Ste 350
Houston, TX 77024

2222 Greenhouse Rd
Ste 200
Houston, TX 77084
Phone (281) 206-8070

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

Interoperability endpoints

  • Direct secure messaging: pbh.mehreenghanchi@136732.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1003463506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 110",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S FRIENDSWOOD DR STE 110",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463989",
            "telephone_number": "210-589-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANCHI",
        "first_name": "MEHREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP143243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHREEN",
            "last_name": "GHANCHI",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.