Organization Active NPI

Etage D'Amour Behavioral Healthcare Service

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosharon, TX
National Provider Identifier
1013871052
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ETAGE D'AMOUR BEHAVIORAL HEALTHCARE SERVICE
Practice address
13303 Redwood Trail LN
Rosharon, TX 77583-0436
Phone
(346) 219-7516
NPI assigned
Dec 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Aminu Sufu Mahmud, PMHNPNPI 1467717660
Title
President
Phone
(346) 219-7516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

13303 Redwood Trail LN
Rosharon, TX 77583-0436

Mailing address

13303 Redwood Trail LN
Rosharon, TX 77583-0436
Phone (346) 219-7516

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1013871052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 REDWOOD TRAIL LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775830436",
            "telephone_number": "346-219-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 REDWOOD TRAIL LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775830436",
            "telephone_number": "346-219-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETAGE D'AMOUR BEHAVIORAL HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-14",
        "status": "A",
        "authorized_official_last_name": "MAHMUD",
        "authorized_official_first_name": "AMINU",
        "authorized_official_middle_name": "SUFU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "346-219-7516",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosharon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.