Active NPI
Nurocoach Medical Group PLLC
- Psychiatry Physician
- Sugar Land, TX
National Provider Identifier
1083332845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NUROCOACH MEDICAL GROUP PLLC
- Practice address
- 101 Southwestern Blvd Ste 200
Sugar Land, TX 77478-3568 - Phone
- (855) 954-6876
- Fax
- (855) 859-6876
- NPI assigned
- Aug 18, 2022
- Last updated
- Aug 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taccara Ross
- Title
- Office Manager
- Phone
- (225) 803-7877
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
101 Southwestern Blvd Ste 200
Sugar Land, TX 77478-3568
Mailing address
101 Southwestern Blvd Ste 200
Sugar Land, TX 77478-3568
Phone (855) 954-6876
Other practice location 1
3201 University Dr E Ste 265
Bryan, TX 77802-3475
Phone (855) 954-6876
Other practice location 2
221 River St Ste 9
PMB # 6991
Hoboken, NJ 07030-5990
Phone (855) 954-6876
Other practice location 3
2585 Gresham Rd SE Ste 100
Atlanta, GA 30316-4147
Phone (855) 954-6876
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902217581 | Medicaid | LA | |
| 003291441A | Medicaid | GA | |
| 1235631599 | Medicaid | TX | |
| 1174022248 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | support@nurocoach.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, MI, LA, FL, WI, OH, MO, OR, TN, GA, PA, NJ
Enrollment records 13
National Provider Directory
National Provider DirectoryLocations
2585 Gresham Rd SE
Ste 100
Atlanta, GA 30316
3201 University Dr E
Ste 265
Bryan, TX 77802
2800 Kirby Dr
Ste A110
Houston, TX 77098
101 Southwestern Blvd
Ste 200
Sugar Land, TX 77478
Phone (346) 298-3790
Practitioners & affiliated clinicians
Practitioners 39
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Sugar Land, TX
- NPI 1528870771
-
- Psychiatric/Mental Health Nurse Practitioner
- Killeen, TX
- NPI 1275316226
-
- Nurse Practitioner
- Hearne, TX
- NPI 1194379503
-
- Professional Counselor
- Brenham, TX
- NPI 1841734449
-
- Clinical Social Worker
- Sugar Land, TX
- NPI 1447054028
-
- Psychiatric/Mental Health Nurse Practitioner
- Bryan, TX
- NPI 1982579645
-
- Psychiatry Physician
- New Orleans, LA
- NPI 1932263613
CA, FL, MI, NJ, OH, OR, PA, TN, TX, WI
-
- Psychiatric/Mental Health Nurse Practitioner
- Bryan, TX
- NPI 1477214369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724803200000",
"number": "1083332845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD STE 200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783568",
"telephone_number": "855-954-6876",
"fax_number": "855-859-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTHWESTERN BLVD STE 200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783568",
"telephone_number": "855-954-6876",
"fax_number": "855-859-6876"
}
],
"practiceLocations": [
{
"address_1": "3201 University Dr E Ste 265",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778023475",
"country_code": "US",
"telephone_number": "855-954-6876",
"fax_number": "855-859-6876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 River St Ste 9",
"address_2": "PMB # 6991",
"address_purpose": "LOCATION",
"city": "Hoboken",
"state": "NJ",
"postal_code": "070305990",
"country_code": "US",
"telephone_number": "855-954-6876",
"fax_number": "855-859-6876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2585 Gresham Rd SE Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303164147",
"country_code": "US",
"telephone_number": "855-954-6876",
"fax_number": "855-859-6876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NUROCOACH MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-18",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "TACCARA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "225-803-7877"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902217581",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003291441A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235631599",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174022248",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "support@nurocoach.com",
"affiliation": "N",
"endpointDescription": "support@nurocoach.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "948 S Fry Rd",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774503061",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.