Individual provider Active NPI

Samira Mohammed Mahbob

  • Psychiatric/Mental Health Nurse Practitioner
  • Denton, TX
National Provider Identifier
1306655949
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1182275 Issued in TX
Practice address
816 N Bell Ave Apt 59
Denton, TX 76209-4280
Phone
(940) 595-3675
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 1182275 TX Primary

Addresses

Primary practice location

816 N Bell Ave Apt 59
Denton, TX 76209-4280

Mailing address

816 N Bell Ave Apt 59
Denton, TX 76209-4280
Phone (940) 595-3675

Other identifiers 1

IdentifierTypeStateIssuer
505262315MedicaidTX

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
I20250707003550 TX Practitioner - Nurse Practitioner 6406360015 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1182275TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates, PLLC CurrentSince Jun 26, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jun 26, 2025 Accepting new patients
Kotel Atx PastSince Feb 23, 2025 Accepting new patients
Foundations Senior Service Inc Psychiatric/Mental Health Past Accepting new patients

Locations

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

Organizations & group practices 4

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1306655949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N BELL AVE APT 59",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762094280",
            "telephone_number": "940-595-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N BELL AVE APT 59",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762094280",
            "telephone_number": "940-595-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHBOB",
        "first_name": "SAMIRA",
        "middle_name": "MOHAMMED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1182275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505262315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.