Organization Active NPI

Cha Behavioral Healthcare

  • Psychiatry Physician
  • Kingwood, TX
National Provider Identifier
1376089482
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q0400 Issued in TX
Legal business name
CHA BEHAVIORAL HEALTHCARE
Practice address
201 Kingwood Medical Dr
Suite A450
Kingwood, TX 77339-6006
Phone
(832) 701-0283
Fax
(281) 608-7543
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Hilary C Akpudo, M.D.NPI 1437461530
Title
Owner
Phone
(513) 574-0055

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Q0400 TX Primary

Addresses

Primary practice location

201 Kingwood Medical Dr
Suite A450
Kingwood, TX 77339-6006

Mailing address

3227 Pine Dust LN
Spring, TX 77373-9217
Phone (513) 574-0055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170503000328 TX Part B Supplier - Clinic/Group Practice 7214214154 Receives reassigned benefits from 4 practitioners
Practice locations: Tomball, TX; Texas City, TX; Shenandoah, TX; Kingwood, TX; Humble, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

9346 FM 1960 Rd W
Humble, TX 77338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20600/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1376089482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 PINE DUST LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773739217",
            "telephone_number": "513-574-0055",
            "fax_number": "513-574-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KINGWOOD MEDICAL DR",
            "address_2": "SUITE A450",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396006",
            "telephone_number": "832-701-0283",
            "fax_number": "281-608-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHA BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "AKPUDO",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-574-0055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q0400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.