Convergence Psychiatry PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONVERGENCE PSYCHIATRY PLLC

Practice address

7070 Knights CT Ste 1701
Missouri City, TX 77459-5551

Phone

(346) 595-3735

Fax

(832) 281-1383

NPI assigned

Apr 1, 2025

Organization subpart

No

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

Authorized official

Name

Mark Lidasan, NURSE PRACTITIONERNPI 1396385662

Title

Owner

Phone

(832) 933-1735

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Lidasan

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
  • NPI 1396385662
  NPD Authorized official

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1417751553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 KNIGHTS CT STE 1701",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595551",
            "telephone_number": "346-595-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 KNIGHTS CT STE 1701",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595551",
            "telephone_number": "346-595-3735",
            "fax_number": "832-281-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGENCE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "LIDASAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-933-1735",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Irene Ekene Cornell-Ade, M.D

• Clinic/Center in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.