Puissant LLC Dba Integrated Minds

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

770332 Issued in TX

Legal business name

PUISSANT LLC DBA INTEGRATED MINDS

Practice address

4107 Crosspoint Blvd
Suite a
Edinburg, TX 78539

Phone

(956) 329-7764

Fax

(956) 329-7766

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Yemi Adebowale, DNP, APRN, PMHNP-BCNPI 1053659987

Title

Officer/Member

Phone

(832) 419-3267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Yemi Adebowale, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • McAllen, TX
  • NPI 1053659987
  Medicare reassignment NPD Authorized official
• Olaide Akinyinka, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
  • NPI 1932637097
  Medicare reassignment NPD

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1154744266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 CROSSPOINT BLVD",
            "address_2": "SUITE A",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-329-7764",
            "fax_number": "956-329-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 CROSSPOINT BLVD",
            "address_2": "SUITE A",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-329-7764",
            "fax_number": "956-329-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUISSANT LLC DBA INTEGRATED MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "ADEBOWALE",
        "authorized_official_first_name": "YEMI",
        "authorized_official_title_or_position": "OFFICER/MEMBER",
        "authorized_official_telephone_number": "832-419-3267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "770332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• CHI Lun Pui, M.D.
• Jacquelyn Zinnia Pulido, LPC
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• Naresh Singh Purohit
• Tahira Qasim, PA-C
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• Community/Behavioral Health Agency in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.