Reliant Park Psychiatry

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

N8002 Issued in TX

Legal business name

RELIANT PARK PSYCHIATRY

Practice address

7601 Fannin St
Houston, TX 77054-1905

Phone

(713) 795-8874

Fax

(713) 795-5529

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Izzeldeen Babiker Elhage, M.DNPI 1710025515

Title

M.D

Phone

(267) 307-7251

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Izzeldeen Babiker Elhage, M.D.

  • Psychiatry Physician
  • Sugar Land, TX
  • NPI 1710025515
  Medicare reassignment NPD Authorized official
• Ngozi Okocha, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1700552445
  Medicare reassignment NPD
• Kou Sarah Wei

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
  • NPI 1760941207

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1184037525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541905",
            "telephone_number": "713-795-8874",
            "fax_number": "713-795-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541905",
            "telephone_number": "713-795-8874",
            "fax_number": "713-795-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT PARK PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "ELHAGE",
        "authorized_official_first_name": "IZZELDEEN",
        "authorized_official_middle_name": "BABIKER",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "267-307-7251",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "TX",
            "license": "N8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliance Heart Lung & Sleep Services
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• Reliant Pharmacy
• Relief Ambulance Services LLC
• Relief Care Group LLC
• Relief Healthcare Services Inc
• Relief Homecare Services

• Prescribing (Medical) Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Prescribing (Medical) Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.