Active NPI
Obinna Chris Okereke, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP138427
- Practice address
- 2100 N State Hyw 360
2100 A
Grand Prairie, TX 75050-7505 - Phone
- (214) 677-0618
- NPI assigned
- Aug 8, 2018
- Last updated
- Apr 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP138427 | TX | Primary |
Addresses
Primary practice location
2100 N State Hyw 360
2100 A
Grand Prairie, TX 75050-7505
Mailing address
1315 Thunder Dove Dr
Mansfield, TX 76063-6548
Phone (817) 899-6284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2100 N Hwy 360
Suite 2100a
Grand Prairie, TX 75050-1042
Phone (682) 331-5511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138427 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawkins Psychiatry PC | Current | Accepting new patients | |
| Dallas County Mental Health & Mental Retardation Center | Current | Accepting new patients | |
| Apex Behavioral Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Hope Starts Here LLC | Past | Accepting new patients |
Locations
2233 Avenue J
Ste 101
Arlington, TX 76006
Phone (817) 385-0088
1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (469) 899-3200
2100 N State Highway 360
Ste 2100A
Grand Prairie, TX 75050
Phone (214) 677-0618
503 W Harwood Rd
Hurst, TX 76054
Phone (817) 268-4404
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Prairie, TX
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- Psychiatry Physician
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- NPI 1003056607
-
- Psychiatry Physician
- Arlington, TX
- NPI 1053185983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1174002349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 THUNDER DOVE DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636548",
"telephone_number": "817-899-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N STATE HYW 360",
"address_2": "2100 A",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750507505",
"telephone_number": "214-677-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEREKE",
"first_name": "OBINNA",
"middle_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-08",
"last_updated": "2023-04-12",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP138427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.