Soka Psychiatry and Wellness Company PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOKA PSYCHIATRY AND WELLNESS COMPANY PC

Doing business as

SOKA Psychiatry & Wellness

Practice address

1508 Spenwick Ter
Dallas, TX 75204-5531

Phone

(512) 460-0453

NPI assigned

Jul 25, 2025

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremiah Ross, PMHNPNPI 1669068581

Title

Pmhnp

Phone

(512) 460-0453

Specialties & licenses 1

Addresses

Other names 1

• SOKA Psychiatry & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Jeremiah Ross, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1669068581

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1245112515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 SPENWICK TER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045531",
            "telephone_number": "512-460-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SPENWICK TER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045531",
            "telephone_number": "512-460-0453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 Cedar Springs Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752194167",
            "country_code": "US",
            "telephone_number": "512-460-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOKA PSYCHIATRY AND WELLNESS COMPANY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "512-460-0453",
        "authorized_official_credential": "PMHNP"
    },
    "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": [
        {
            "organization_name": "SOKA Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOKA Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.