NPIMap

Organization Active NPI

Psychiatric Specialists of Texas PLLC

Doing business as Children's Psychiatric Services of South Texas

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1194187849
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
232350 Issued in TX
Legal business name
PSYCHIATRIC SPECIALISTS OF TEXAS PLLC
Doing business as
Children's Psychiatric Services of South Texas
Practice address
5440 Old Brownsville Rd
Corpus Christi, TX 78417
Phone
(361) 452-1151
Fax
(361) 452-1517
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Ms. Peggy Jo Koepsel, PMHNP
Title
NP
Phone
(361) 452-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 232350 TX Primary

Addresses

Primary practice location

5440 Old Brownsville Rd
Corpus Christi, TX 78417

Mailing address

5440 Old Brownsville Rd
Corpus Christi, TX 78417
Phone (361) 452-1151

Other names 1

  • Children's Psychiatric Services of South Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215000280 TX Part B Supplier - Clinic/Group Practice 3072893726 Receives reassigned benefits from 10 practitioners
Practice locations: Corpus Christi, TX; Harlingen, TX

National Provider Directory

National Provider Directory

Locations

4444 Corona Dr
Ste 106
Corpus Christi, TX 78411
Phone (361) 815-5400

5440 Old Brownsville Rd
Corpus Christi, TX 78417
Phone (361) 452-1151

4444 Corona Dr
Ste 242
Corpus Christi, TX 78411
Phone (361) 452-1151

418 E Tyler Ave
Ste C
Harlingen, TX 78550
Phone (956) 292-9150

1402 Village Dr
Victoria, TX 77901
Phone (361) 218-4794

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1194187849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-452-1151",
            "fax_number": "361-452-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-452-1151",
            "fax_number": "361-452-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SPECIALISTS OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "KOEPSEL",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "361-452-1151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "232350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Psychiatric Services of South Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

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