Olivepath Psychiatry Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OLIVEPATH PSYCHIATRY SERVICES PLLC

Practice address

13500 W Airport Blvd Ste B
Sugar Land, TX 77498-6319

Phone

(708) 616-1477

Fax

(832) 321-2895

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Linda U EjemNPI 1578284022

Title

Owner

Phone

(917) 856-2411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Linda U Ejem, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1578284022
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1124877097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 RAINY CANYON LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061699",
            "telephone_number": "708-616-1477",
            "fax_number": "832-321-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 W AIRPORT BLVD STE B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774986319",
            "telephone_number": "708-616-1477",
            "fax_number": "832-321-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVEPATH PSYCHIATRY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "EJEM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-856-2411"
    },
    "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": []
}

• Obata Olaye
• Margaret Olear, M.D
• Rose Olise
• Joseph Olivarez, MD
• Olive Healthcare Services Inc
• Sharon Ann Olmedo, LCSW
• Matthew Allen Olson, DMD
• Oyinlola Oludiran, PMHNP-BC
• Olympic Spine and Joint PLLC
• Damaris Omanga, LVN

• Psychiatric/Mental Health Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.