Sunrise CMHC, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUNRISE CMHC, INC

Practice address

19607 Norfolk Ridge Way
Richmond, TX 77407-7123

Phone

(832) 366-5980

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Damian Okpako Idjagboro

Title

Director

Phone

(832) 366-5980

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1386067296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19607 NORFOLK RIDGE WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077123",
            "telephone_number": "832-366-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19607 NORFOLK RIDGE WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077123",
            "telephone_number": "832-366-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CMHC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "IDJAGBORO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "OKPAKO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-366-5980"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.