Organization Active NPI

Enabled Care Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1063170702
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ENABLED CARE PSYCHIATRY PLLC
Practice address
1500 S Dairy Ashford Rd Ste 102
Houston, TX 77077-3860
Phone
(832) 968-7755
Fax
(737) 263-1821
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Authorized official

Name
Mr. Alozie Amayaka, PMHNP-BCNPI 1912550112
Title
Manager
Phone
(832) 968-7755

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

1500 S Dairy Ashford Rd Ste 102
Houston, TX 77077-3860

Mailing address

1500 S Dairy Ashford Rd Ste 102
Houston, TX 77077-3854
Phone (832) 968-7755

Other names 1

  • Enabled Care Psychiatry PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220705000037 TX Part B Supplier - Clinic/Group Practice 3375923659 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2265657Enabled Care Psychiatry PLLC1500 S Dairy Ashford Rd, Ste 102, Houston, TX 77077Certificate of waiverJul 29, 2026

National Provider Directory

National Provider Directory

Locations

11242 FM 1960 Rd W
Ste 107
Houston, TX 77065
Phone (832) 856-2151

1500 S Dairy Ashford Rd
Ste 102
Houston, TX 77077
Phone (832) 856-2151

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": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723334400000",
    "number": "1063170702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DAIRY ASHFORD RD STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773854",
            "telephone_number": "832-968-7755",
            "fax_number": "737-263-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DAIRY ASHFORD RD STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773860",
            "telephone_number": "832-968-7755",
            "fax_number": "737-263-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLED CARE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "AMAYAKA",
        "authorized_official_first_name": "ALOZIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-968-7755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": [
        {
            "organization_name": "Enabled Care Psychiatry PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Enabled Care Psychiatry PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.