Organization Active NPI

Rose Psychiatric Associate PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anna, TX
National Provider Identifier
1114621554
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROSE PSYCHIATRIC ASSOCIATE PLLC
Practice address
409 S Central Expy Ste 107-514
Anna, TX 75409-4909
Phone
(469) 545-0902
Fax
(469) 960-3925
NPI assigned
Mar 29, 2023
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Veronicah Banga, MSN, APRN-CNP, PMHNPNPI 1164011284
Title
Owner
Phone
(469) 545-0902

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 Practitioner 363LP0808X Primary

Addresses

Primary practice location

409 S Central Expy Ste 107-514
Anna, TX 75409-4909

Mailing address

409 S Central Expy Ste 107-514
Anna, TX 75409-4909
Phone (469) 545-0902

National Provider Directory

National Provider Directory

Locations

409 S Central Expy
Ste 107514
Anna, TX 75409
Phone (469) 545-0902

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1114621554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S CENTRAL EXPY STE 107-514",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094909",
            "telephone_number": "469-545-0902",
            "fax_number": "469-960-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S CENTRAL EXPY STE 107-514",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094909",
            "telephone_number": "469-545-0902",
            "fax_number": "469-960-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PSYCHIATRIC ASSOCIATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "BANGA",
        "authorized_official_first_name": "VERONICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-545-0902",
        "authorized_official_credential": "MSN, APRN-CNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.