Ict Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ICT PSYCHIATRY LLC

Practice address

6519 E 44TH St N
Bel Aire, KS 67226-1483

Phone

(316) 847-2452

NPI assigned

Jun 14, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Siegfried F Mboya, NPNPI 1154120780

Title

Pmhnp- BC

Phone

(316) 847-2452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

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

• Siegfried Mboya, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Aire, KS
  • NPI 1154120780

  KS, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749859200000",
    "number": "1073409348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 E 44TH ST N",
            "city": "BEL AIRE",
            "state": "KS",
            "postal_code": "672261483",
            "telephone_number": "316-847-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 E 44TH ST N",
            "city": "BEL AIRE",
            "state": "KS",
            "postal_code": "672261483",
            "telephone_number": "316-847-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICT PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "MBOYA",
        "authorized_official_first_name": "SIEGFRIED",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PMHNP- BC",
        "authorized_official_telephone_number": "316-847-2452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.