Individual provider Active NPI

Kaeside Chukwudi Unachukwu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1306477906
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP144902 Issued in TX
Practice address
15500 Voss Road Ste 1045
Sugar Land, TX 77498-4601
Phone
(713) 309-6406
Fax
(949) 863-2663
NPI assigned
Feb 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 AP144902 TX Primary

Addresses

Primary practice location

15500 Voss Road Ste 1045
Sugar Land, TX 77498-4601

Mailing address

15500 Voss Rd Ste 1045
Sugar Land, TX 77498-4601
Phone (713) 309-6406

Other practice location 1

10851 Scarsdale Blvd Ste 160
Houston, TX 77089-5737
Phone (281) 824-1480

Other identifiers 1

IdentifierTypeStateIssuer
407845303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302002507 TX Practitioner - Nurse Practitioner 3375970460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jun 24, 2024 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Nov 1, 2020 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

10851 Scarsdale Blvd
Ste 160
Houston, TX 77089
Phone (281) 464-3780

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

10857 Kuykendahl Rd
Ste 210
Spring, TX 77382
Phone (281) 475-4428

Organizations & group practices 5

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": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1306477906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 VOSS RD STE 1045",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984601",
            "telephone_number": "713-309-6406",
            "fax_number": "949-863-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 VOSS ROAD STE 1045",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984601",
            "telephone_number": "713-309-6406",
            "fax_number": "949-863-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10851 Scarsdale Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770895737",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNACHUKWU",
        "first_name": "KAESIDE",
        "middle_name": "CHUKWUDI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-01",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407845303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.