Holistic Mental Health Wellness Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOLISTIC MENTAL HEALTH WELLNESS INC

Doing business as

Holistic Mental Health Wellness Inc

Practice address

10 Monarch Dr Unit B
Streamwood, IL 60107-4521

Phone

(224) 366-7537

NPI assigned

Oct 24, 2018

Organization subpart

Yes

Parent organization

HOLISTIC MENTAL HEALTH WELLNESS INCAs reported in NPPES

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

Authorized official

Name

Tangee Ximena Moscoso, APNNPI 1316340789

Title

President

Phone

(224) 366-7537

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holistic Mental Health Wellness Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Holistic Mental Health Wellness Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tangee Ximena Moscoso, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Streamwood, IL
  • NPI 1316340789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1316414790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MONARCH DR UNIT B",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074521",
            "telephone_number": "224-366-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MONARCH DR UNIT B",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074521",
            "telephone_number": "224-366-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MENTAL HEALTH WELLNESS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLISTIC MENTAL HEALTH WELLNESS INC",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MOSCOSO",
        "authorized_official_first_name": "TANGEE",
        "authorized_official_middle_name": "XIMENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-366-7537",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332702628",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Mental Health Wellness Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.