Organization Active NPI

Blooming Minds Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1346104163
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLOOMING MINDS PSYCHIATRY PLLC
Practice address
9550 Skillman St Ste 330
Dallas, TX 75243-8261
Phone
(209) 486-2590
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Onyinye ObiorahNPI 1912729435
Title
NP
Phone
(209) 486-2590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

9550 Skillman St Ste 330
Dallas, TX 75243-8261

Mailing address

9550 Skillman St Ste 330
Dallas, TX 75243-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260309000524 TX Part B Supplier - Clinic/Group Practice 3173006178 Receives reassigned benefits from 1 practitioner
Practice locations: Forney, TX

National Provider Directory

National Provider Directory

Locations

9550 Skillman St
Ste 330
Dallas, TX 75243
Phone (214) 389-2442

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1346104163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 SKILLMAN ST STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 SKILLMAN ST STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438261",
            "telephone_number": "209-486-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING MINDS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "OBIORAH",
        "authorized_official_first_name": "ONYINYE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "209-486-2590"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.