Individual provider Active NPI

Zanab Bolanle Balogun, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1245063635
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1007328 Issued in TX
Practice address
2150 S Central Expy
McKinney, TX 75070-4070
Phone
(972) 502-9420
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 1007328 TX Primary

Addresses

Primary practice location

2150 S Central Expy
McKinney, TX 75070-4070

Mailing address

2150 S Central Expy
McKinney, TX 75070-4070
Phone (972) 502-9420

Other names 1

  • Zanab Ogunsanya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Psychiatry PLLC CurrentSince Nov 1, 2024 Accepting new patients
Purposeful Mind Psychiatry Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

2150 S Central Expy
Ste 200
McKinney, TX 75070
Phone (214) 624-9864

1833 W Hunt St
#B
McKinney, TX 75069
Phone (940) 703-5184

Organizations & group practices 2

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1245063635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S CENTRAL EXPY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704070",
            "telephone_number": "972-502-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S CENTRAL EXPY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704070",
            "telephone_number": "972-502-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "ZANAB",
        "middle_name": "BOLANLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1007328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZANAB",
            "last_name": "OGUNSANYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.