Organization Active NPI

Mosaic Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Fulshear, TX
National Provider Identifier
1437733847
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOSAIC MENTAL HEALTH
Doing business as
Mosaic Mental Health
Practice address
5757 Flewellen Oaks LN Ste 302
Fulshear, TX 77441-1801
Phone
(832) 647-1946
NPI assigned
May 11, 2021
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Elizabeth Macshadiya, PHMNP-BCNPI 1992257828
Title
Owner
Phone
(832) 647-1946

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 Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5757 Flewellen Oaks LN Ste 302
Fulshear, TX 77441-1801

Mailing address

24285 Katy Fwy Ste 300
Katy, TX 77494-1128
Phone (713) 987-7828

Other names 1

  • Mosaic Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210630003432 TX Part B Supplier - Clinic/Group Practice 1254732043 Receives reassigned benefits from 3 practitioners
Practice locations: Fulshear, TX

National Provider Directory

National Provider Directory

Locations

5757 Flewellen Oaks Ln
Ste 302
Fulshear, TX 77441
Phone (713) 987-7828

25807 Westheimer Pkwy
Ste 327
Katy, TX 77494
Phone (713) 987-7828

25807 Westheimer Pkwy
Ste 353
Katy, TX 77494
Phone (713) 987-7828

25807 Westheimer Pkwy
Ste 436
Katy, TX 77494

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1437733847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24285 KATY FWY STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941128",
            "telephone_number": "713-987-7828",
            "fax_number": "713-804-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 FLEWELLEN OAKS LN STE 302",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411801",
            "telephone_number": "832-647-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MACSHADIYA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-647-1946",
        "authorized_official_credential": "PHMNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mosaic Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulshear, TX

Sources for this page

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