Therapsych Behavioral Health & Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THERAPSYCH BEHAVIORAL HEALTH & WELLNESS, PLLC

Practice address

116 W 3Rd Ave Ste 1
Gastonia, NC 28052-4368

Phone

(980) 309-8508

Fax

(855) 978-2444

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Shukairo Mack Baker, APRN, PMHNP-BCNPI 1659666444

Title

Ceo

Phone

(980) 309-8508

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shukairo Mack Baker, APRN, PMHNP-BC, LCSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Rock Hill, SC
  • NPI 1659666444
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1124856372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 3RD AVE STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524368",
            "telephone_number": "704-689-0393",
            "fax_number": "855-978-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 3RD AVE STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524368",
            "telephone_number": "980-309-8508",
            "fax_number": "855-978-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 1st Ave W Ste 280",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194285",
            "country_code": "US",
            "telephone_number": "704-689-0393",
            "fax_number": "855-978-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 N 27th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010711",
            "country_code": "US",
            "telephone_number": "406-237-5110",
            "fax_number": "855-978-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6601 Park Of Commerce Blvd Ste 12-027",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334878247",
            "country_code": "US",
            "telephone_number": "704-689-0393",
            "fax_number": "855-978-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 E Carson Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891015905",
            "country_code": "US",
            "telephone_number": "704-689-0393",
            "fax_number": "855-978-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Lakeshore Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297304205",
            "country_code": "US",
            "telephone_number": "704-689-0393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Church St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clover",
            "state": "SC",
            "postal_code": "297101009",
            "country_code": "US",
            "telephone_number": "704-689-0393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8550 W 38th Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800334306",
            "country_code": "US",
            "telephone_number": "303-403-3670",
            "fax_number": "855-978-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 2nd St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164436",
            "country_code": "US",
            "telephone_number": "704-689-0393",
            "fax_number": "855-978-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3830 E Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850086920",
            "country_code": "US",
            "telephone_number": "704-689-0393",
            "fax_number": "855-978-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPSYCH BEHAVIORAL HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHUKAIRO",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-309-8508",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "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": []
}

• The Simple Life Services, Inc
• The Simple Life Services, Inc.
• The Wow Workshop, Inc
• Therapeutic Center for Change
• Therapeutic Support Services
• Colleen Lyn Thibaut, D.O.
• Steven David Thies, M.D.
• Alea Marie Thomas
• Candise Thomas
• Danielle Marie Ruth Thomas, MSW, LCSWA

• Psychiatric/Mental Health Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.