Active NPI
Kindercare Behavioral Health and Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KINDERCARE BEHAVIORAL HEALTH AND SERVICES LLC
- Doing business as
- Kindercare behavioral health and services LLC
- Practice address
- 704 Longmire Rd Ste 243
Conroe, TX 77304-1850 - Phone
- (936) 668-1479
- NPI assigned
- Dec 12, 2023
- Last updated
- May 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omowunmi Ojo, PMHNP
- Title
- Owner
- Phone
- (936) 668-1479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
704 Longmire Rd Ste 243
Conroe, TX 77304-1850
Mailing address
704 Longmire Rd Ste 243
Conroe, TX 77304-1850
Phone (936) 668-1479
Other names 1
- Kindercare behavioral health and services LLC
National Provider Directory
National Provider DirectoryLocations
704 Longmire Rd
Ste 243
Conroe, TX 77304
Phone (936) 668-1479
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Conroe, TX
- NPI 1386913382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1225806961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 LONGMIRE RD STE 243",
"city": "CONROE",
"state": "TX",
"postal_code": "773041850",
"telephone_number": "936-668-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 LONGMIRE RD STE 243",
"city": "CONROE",
"state": "TX",
"postal_code": "773041850",
"telephone_number": "936-668-1479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDERCARE BEHAVIORAL HEALTH AND SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-12",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "OJO",
"authorized_official_first_name": "OMOWUNMI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-668-1479",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindercare behavioral health and services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.