Active NPI
Kaeside Chukwudi Unachukwu, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP144902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407845303 | Medicaid | TX |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Stephen F. Austin Community Health Center, Inc. | Current | Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Psychiatric/Mental Health | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Alvin, TX
- NPI 1578730818
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
Psychiatric/Mental Health, TX
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sugar Land, TX
- NPI 1720759285
-
- Federally Qualified Health Center (FQHC)
- Bacliff, TX
- NPI 1962986562
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.