International Mission Center Church, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INTERNATIONAL MISSION CENTER CHURCH, INC.

Doing business as

Liberty-Dayton Day Activity Health Services
Lightway Psychological Services

Practice address

1801 Grand Ave
Liberty, TX 77575-4728

Phone

(281) 592-9222

Fax

(281) 592-5041

NPI assigned

Oct 25, 2006

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arthur N OjionukaNPI 1376181404

Title

Ceo

Phone

(281) 592-9222

Specialties & licenses 14

Addresses

Other names 2

• Liberty-Dayton Day Activity Health Services Doing business as
• Lightway Psychological Services Doing business as

Tax ID family

International Mission Center Church Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• International Mission Center Church, Inc.

  dba Lightway Health Services

  • Clinical Psychologist
  • Cleveland, TX
  • NPI 1487738613
  NPD tax ID

Locations

Practitioners 3

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.

• Arthur N Ojionuka, PHD

  • Clinical Psychologist
  • Cleveland, TX
  • NPI 1376181404

  Adult Development & Aging

  NPD Authorized official
• Lisa D Bowles, PHD

  • Clinical Psychologist
  • Seabrook, TX
  • NPI 1326407214
  NPD (past)
• Martin None Mensah, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tomball, TX
  • NPI 1821743865
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1336224831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E HANSON ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274622",
            "telephone_number": "281-592-9222",
            "fax_number": "281-592-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GRAND AVE",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754728",
            "telephone_number": "281-592-9222",
            "fax_number": "281-592-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MISSION CENTER CHURCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OJIONUKA",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-592-9222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty-Dayton Day Activity Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lightway Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lightway Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Brent Henderson, PTA
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• Sekinat Olubukunola Kekere-Ekun, PHARMD
• Katie Kellner

• Clinical Psychologist in Liberty, TX
• Providers in Liberty, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.