Organization Active NPI

Phoenix Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1417524489
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PHOENIX MINDS LLC
Practice address
25807 Westheimer Pkwy Ste 422
Katy, TX 77494-5369
Phone
(713) 581-7961
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Nanu OgunyokuNPI 1427607100
Title
Nurse Practitioner
Phone
(713) 581-7961

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

25807 Westheimer Pkwy Ste 422
Katy, TX 77494-5369

Mailing address

25807 Westheimer Pkwy Ste 422
Katy, TX 77494-5369
Phone (713) 581-7961

Other practice location 1

5330 Silktail Ct
Richmond, TX 77407-4200
Phone (713) 581-7961

National Provider Directory

National Provider Directory

Locations

25807 Westheimer Pkwy
Ste 422
Katy, TX 77494
Phone (667) 225-1967

925 S Mason Rd
Ste 952
Katy, TX 77450

225 Matlage Way
Unit 1921
Sugar Land, TX 77487

Practitioners 1

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1417524489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY STE 422",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945369",
            "telephone_number": "713-581-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY STE 422",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945369",
            "telephone_number": "713-581-7961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 Silktail Ct",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774074200",
            "country_code": "US",
            "telephone_number": "713-581-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "OGUNYOKU",
        "authorized_official_first_name": "NANU",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "713-581-7961"
    },
    "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 Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.