Simso Behavioral Legacy, LLC.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SIMSO BEHAVIORAL LEGACY, LLC.

Practice address

20119 Goss Hollow LN
Katy, TX 77449-0039

Phone

(240) 351-7546

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Nkem Okoli, PMHNP-BC

Title

Manager

Phone

(240) 351-7546

Specialties & licenses 1

Addresses

Other names 1

• 20119 Goss Hollow Lane Former legal business name

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1295313963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20119 GOSS HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490039",
            "telephone_number": "240-351-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20119 GOSS HOLLOW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490039",
            "telephone_number": "240-351-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMSO BEHAVIORAL LEGACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "OKOLI",
        "authorized_official_first_name": "NKEM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-351-7546",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": "20119 Goss Hollow Lane",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Simply Smile Dental Studio PLLC
• Katherine Denise Simpson, NP
• Kathryn Simpson
• Beatrice Taiye Sims
• Kayla Sims, MS, CCC-SLP
• Sina Group Inc
• Ajaypal Singh, MD
• Amrit Pal Singh, DDS
• Madhu Bala Singh, MS LPC
• Preeti Singh, MD

• Psychiatric/Mental Health Nurse Practitioner in Katy, TX
• Providers in Katy, 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 Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.