Organization Active NPI

Ultimate Behavioral Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093543761
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ULTIMATE BEHAVIORAL HEALTH PLLC
Practice address
9898 Bissonnet St Ste 260
Houston, TX 77036-8042
Phone
(713) 894-3635
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Lovely OmoregbeNPI 1467875724
Title
Owner
Phone
(713) 894-3635

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: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9898 Bissonnet St Ste 260
Houston, TX 77036-8042

Mailing address

9898 Bissonnet St Ste 260
Houston, TX 77036-8042
Phone (713) 894-3635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260220002533 TX Part B Supplier - Clinic/Group Practice 2062993793 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9898 Bissonnet St
Ste 260
Houston, TX 77036
Phone (346) 692-2315

Practitioners & affiliated clinicians

Practitioners 2

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": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1093543761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368042",
            "telephone_number": "713-894-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368042",
            "telephone_number": "713-894-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "OMOREGBE",
        "authorized_official_first_name": "LOVELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-894-3635"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 6, 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.

Verify at the official NPI Registry.