Individual provider Active NPI

Angela O Obi

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hollywood, CA
National Provider Identifier
1235875980
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1057904 Issued in TX
Practice address
8235 Santa Monica Blvd Ste 302
West Hollywood, CA 90046-5969
Phone
(713) 416-5155
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1057904 TX Primary

Addresses

Primary practice location

8235 Santa Monica Blvd Ste 302
West Hollywood, CA 90046-5969

Mailing address

8235 Santa Monica Blvd Ste 302
West Hollywood, CA 90046-5969
Phone (888) 684-2779

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125003394 TX Practitioner - Nurse Practitioner 3375914534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Practice addresses (Care Compare)

2717 Commercial Ctr Blvd
Suite E200
Katy, TX 77494-7823
Phone (713) 429-5325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Behavioral Health PLLC CurrentSince Dec 19, 2022 Accepting new patients
Texas West Oaks Hospital, L.P. PastSince Dec 19, 2022 Accepting new patients
Kairos Medical LLC Past Accepting new patients
United Psychiatry Institute, LLC PastSince Jun 1, 2023 Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

106 Whispering Pines Ave
Ste 103
Friendswood, TX 77546
Phone (281) 868-5440

50 Briar Hollow Ln
Ste 290W
Houston, TX 77027
Phone (281) 810-7781

2717 Commercial Center Blvd
Ste E200
Katy, TX 77494
Phone (281) 865-5433

503 Park Grove Dr
Katy, TX 77450
Phone (281) 647-0026

3407 Spencer Hwy
Ste 200
Pasadena, TX 77504
Phone (281) 766-3920

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (281) 315-9508

3531 Town Center Blvd S
Ste 102
Sugar Land, TX 77479
Phone (281) 819-1438

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1235875980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD STE 302",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465969",
            "telephone_number": "888-684-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD STE 302",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465969",
            "telephone_number": "713-416-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "ANGELA",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1057904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.