Active NPI
Win Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WIN PSYCHIATRY
- Practice address
- 4407 Emerald Leaf Dr
Mansfield, TX 76063-5545 - Phone
- (443) 600-8858
- Fax
- (817) 225-2492
- NPI assigned
- Nov 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry Ehizokhale, MSN, APRN, PMHNP-BC
- Title
- Owner of Entity
- Phone
- (443) 600-8858
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4407 Emerald Leaf Dr
Mansfield, TX 76063-5545
Mailing address
4407 Emerald Leaf Dr
Mansfield, TX 76063-5545
Phone (443) 600-8858
Other practice location 1
424 W Bakerview Rd Ste 105-2092
Bellingham, WA 98226-8176
Phone (443) 600-8858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1900 Matlock Rd
Ste 804
Mansfield, TX 76063
Phone (682) 400-8537
424 W Bakerview Rd
Ste 1052092
Bellingham, WA 98226
Phone (443) 600-8858
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield, TX
- NPI 1205593852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672358400000",
"number": "1376250613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 EMERALD LEAF DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635545",
"telephone_number": "443-600-8858",
"fax_number": "817-225-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 EMERALD LEAF DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635545",
"telephone_number": "443-600-8858",
"fax_number": "817-225-2492"
}
],
"practiceLocations": [
{
"address_1": "424 W Bakerview Rd Ste 105-2092",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982268176",
"country_code": "US",
"telephone_number": "443-600-8858",
"fax_number": "817-225-2492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WIN PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-04",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A",
"authorized_official_last_name": "EHIZOKHALE",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "443-600-8858",
"authorized_official_credential": "MSN, APRN, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.