Elevate Life Psychiatry, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELEVATE LIFE PSYCHIATRY, PLLC

Practice address

675 Town Square Blvd
Garland, TX 75040-2992

Phone

(972) 525-0251

Fax

(972) 755-6623

NPI assigned

Mar 27, 2025

Organization subpart

No

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

Authorized official

Name

David OsujiNPI 1558011643

Title

President & Ceo

Phone

(469) 556-8413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Nzube Osuji, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, TX
  • NPI 1558011643
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1366244311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E US HIGHWAY 80",
            "address_2": "STE 200",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "972-525-0251",
            "fax_number": "972-755-6623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5486 Montrose Dr",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "75126",
            "country_code": "US",
            "telephone_number": "469-556-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE LIFE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "OSUJI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "469-556-8413"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.