Cecilia Chanda
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fate, TX
NPI 1154904183 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1154904183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2021027789 (TX)
- Practice address
- 609 W Fate Main PL
Fate, TX 75087-6784 - Phone
- (443) 616-9698
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Border Region MH Mr Community Center
Greathope Psychiatry PLLC
Practice addresses (Care Compare)
101 1St St
Zapata, TX 78076-3319
Phone (956) 794-9664
1500 Pappas St
Laredo, TX 78041-1701
Phone (956) 794-3000
310 E Interstate 30
Suite 304
Garland, TX 75043-4019
Phone (469) 778-0263
6314 Windsor Mill Rd
Suite 100
Gwynn Oak, MD 21207-6078
Phone (469) 778-0263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211102001015 | TX | Practitioner - Nurse Practitioner | 7719375237 | Reassigns benefits to 4 organizations |
| I20231104000423 | MD | Practitioner - Nurse Practitioner | 7719375237 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-286271 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2021027789 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Texas Region MHMR Center | Current |
Accepting new patients | |
| My Health My Resources of Tarrant County | Current |
Accepting new patients | |
| Whitesell and Associates, Inc | Current |
Accepting new patients | |
| Border Region MH Mr Community Center | Current |
Accepting new patients | |
| Greathope Psychiatry PLLC | Current |
Accepting new patients | |
| The Eagles Nest Family and Children Services LLC | Past |
Accepting new patients |
Locations
900A S Main St
Unit 105
Bel Air, MD 21014
Phone (410) 914-4012
6314 Windsor Mill Rd
Ste 100
Gwynn Oak, MD 21207
Phone (443) 893-3808
3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395
310 E Interstate 30
Ste B106
Garland, TX 75043
Phone (469) 778-0263
310 E Interstate 30
Ste 304
Garland, TX 75043
Phone (214) 377-9183
1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000
110 S 12th St
Waco, TX 76701
Phone (254) 297-7124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NUR-APRN-LIC-286271 | MT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021027789 | TX | Yes |
Addresses
Primary practice location
609 W Fate Main PL
Fate, TX 75087-6784
Mailing address
609 W Fate Main PL
Fate, TX 75087-6784
Phone (443) 616-9698
Other providers in Fate, TX
- Brookshire Grocery Company
- Jack Warren Buck Jr.
- Building Changed Behavior
- Jennifer Callicott
- Lamin Yusupha Ceesay
- Chosen Path Care LLC
- Lyndee Nicole Cleveland
- Comfort Care Sitting Services
- Tonia Kathleen Corbin
- Nichole Cuaresma
All providers in Fate, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.