NPIMap

Organization Active NPI

In Touch Psychiatry Consultants & Family Medicine, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, TX
National Provider Identifier
1275005456
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IN TOUCH PSYCHIATRY CONSULTANTS & FAMILY MEDICINE, PLLC
Practice address
1024 E Broad St Ste 207
Mansfield, TX 76063-7702
Phone
(682) 503-1423
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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

Authorized official

Name
Timothy Kimuyu, APRNNPI 1790203016
Title
Pmhnp-BC/FNP-BC
Phone
(682) 518-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1024 E Broad St Ste 207
Mansfield, TX 76063-7702

Mailing address

1024 E Broad St Ste 207
Mansfield, TX 76063-7702
Phone (682) 518-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429000314 TX Part B Supplier - Clinic/Group Practice 1557603396 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553385600000",
    "number": "1275005456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E BROAD ST STE 207",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637702",
            "telephone_number": "682-518-3333",
            "fax_number": "682-518-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E BROAD ST STE 207",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637702",
            "telephone_number": "682-503-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN TOUCH PSYCHIATRY CONSULTANTS & FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2019-03-24",
        "status": "A",
        "authorized_official_last_name": "KIMUYU",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PMHNP-BC/FNP-BC",
        "authorized_official_telephone_number": "682-518-3333",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; 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.