NPIMap

Organization Active NPI

Bliss Advanced Clinical Solutions, PLLC

  • Multi-Specialty Clinic/Center
  • Katy, TX
National Provider Identifier
1043730765
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BLISS ADVANCED CLINICAL SOLUTIONS, PLLC
Practice address
2422 Fairbreeze Dr
Katy, TX 77494-5102
Phone
(973) 964-4595
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Sylvester O Nwosu, PMHNPNPI 1073856944
Title
Pmhnp
Phone
(973) 964-4595

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2422 Fairbreeze Dr
Katy, TX 77494-5102

Mailing address

2422 Fairbreeze Dr
Katy, TX 77494-5102

Other names 1

  • BLISS Behavioral Healthcare Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514000625 TX Part B Supplier - Clinic/Group Practice 8628332954 Receives reassigned benefits from 14 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1043730765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 FAIRBREEZE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 FAIRBREEZE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945102",
            "telephone_number": "973-964-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS ADVANCED CLINICAL SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "973-964-4595",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLISS Behavioral Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLISS Behavioral Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.