Jupco Behavioral Healthcare Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JUPCO BEHAVIORAL HEALTHCARE SERVICES

Practice address

5110 Ruby Rock Way
Richmond, TX 77407-4136

Phone

(281) 624-8459

Fax

(631) 350-0457

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Johnbosco Okafor, PSYCHIATRIC NURSE NPNPI 1285359208

Title

Director

Phone

(281) 624-8459

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Johnbosco Uche Okafor

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
  • NPI 1285359208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1376390153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 RUBY ROCK WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074136",
            "telephone_number": "281-624-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 RUBY ROCK WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074136",
            "telephone_number": "281-624-8459",
            "fax_number": "631-350-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPCO BEHAVIORAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "JOHNBOSCO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-624-8459",
        "authorized_official_credential": "PSYCHIATRIC NURSE NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Richmond, TX
• Providers in Richmond, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.