Abisom Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ABISOM BEHAVIORAL HEALTH LLC

Practice address

15 Springtime Creek Dr
The Woodlands, TX 77354-4163

Phone

(832) 361-8577

NPI assigned

May 30, 2023

Last updated

May 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Kayode Sofela

Title

Director

Phone

(832) 361-8577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omotayo Y Sofela, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1033867007

  NM

  Medicare reassignment NPD
• Codie Jordan Vassar, M.D

  • Psychiatry Physician
  • Kenosha, WI
  • NPI 1538690995

  TX

  Medicare reassignment NPD
• Adaorah Abor, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Acworth, GA
  • NPI 1225769631

  NM

  Medicare reassignment

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1386337004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPRINGTIME CREEK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773544163",
            "telephone_number": "832-361-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPRINGTIME CREEK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773544163",
            "telephone_number": "832-361-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABISOM BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SOFELA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "KAYODE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-361-8577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wael Abdelghani, M.D.
• Brittani Abdo
• Ability and Beyond, PLLC
• Laurie McCormick Ables, LPC, NCC
• Leola Abondano
• Muhanad Abood, MD
• Abundant Life Chiropractic PA (Abundant Life Chiropractic PA d/b/a Living Well Chiropractic)
• Raja Abusharr, M.D.

• Psychiatric/Mental Health Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, 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 30, 2023; 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.