Organization Active NPI

Takecare Integrative Psychiatry & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Pflugerville, TX
National Provider Identifier
1205695806
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TAKECARE INTEGRATIVE PSYCHIATRY & WELLNESS
Practice address
808 Fortrose Ter
Pflugerville, TX 78660-6042
Phone
(972) 750-1617
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Ms. Princess Dashae Eghianruwa, NPNPI 1477161164
Title
Psychiatric Nurse Practitioner
Phone
(972) 750-1617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

808 Fortrose Ter
Pflugerville, TX 78660-6042

Mailing address

110 Ih 35 N
Round Rock, TX 78681-5003
Phone (512) 537-3856

National Provider Directory

National Provider Directory

Locations

110 Ih 35 N
Round Rock, TX 78681

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1205695806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IH 35 N",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815003",
            "telephone_number": "512-537-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 FORTROSE TER",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606042",
            "telephone_number": "972-750-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKECARE INTEGRATIVE PSYCHIATRY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "EGHIANRUWA",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "DASHAE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "972-750-1617",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.