Active NPI
Graceful Minds Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GRACEFUL MINDS HEALTH PLLC
- Practice address
- 5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008 - Phone
- (469) 415-1143
- NPI assigned
- Feb 10, 2023
- Last updated
- Aug 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
- Judith Maduh, PMHNP
- Title
- Ceo
- Phone
- (469) 415-1143
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 | Primary |
Addresses
Primary practice location
5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (469) 415-1143
Other practice location 1
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (469) 389-2903
National Provider Directory
National Provider DirectoryPractitioners & 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
- Frisco, TX
- NPI 1558947671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723248000000",
"number": "1245937200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "469-415-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341008",
"telephone_number": "469-415-1143"
}
],
"practiceLocations": [
{
"address_1": "5900 Balcones Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787314298",
"country_code": "US",
"telephone_number": "469-389-2903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GRACEFUL MINDS HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-10",
"last_updated": "2024-08-10",
"certification_date": "2024-08-10",
"status": "A",
"authorized_official_last_name": "MADUH",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "469-415-1143",
"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": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.