Safestar Psychiatric and Wellness LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SAFESTAR PSYCHIATRIC AND WELLNESS LLC

Practice address

2216 Triton Dr
McKinney, TX 75071-1290

Phone

(214) 469-8328

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Miss Lilian DavidsonNPI 1578349338

Title

Owner

Phone

(214) 469-8328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AZ, CO3 enrollments

Enrollment records 3

Locations

Practitioners 2

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

• Lilian Efosa Davidson

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
  • NPI 1578349338

  AZ, CO

  Medicare reassignment NPD Authorized official
• Bala Michael Wambebe

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1265117659
  NPD (past)

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1467231472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 TRITON DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750711290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 TRITON DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750711290",
            "telephone_number": "214-469-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFESTAR PSYCHIATRIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-469-8328",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Sadiq-Ali
• Sean A. Sadler, D.O.
• Melinda Saenz
• Zarin Safa
• Safe Harbor Billing, LLC
• Safeway Express Medical Transportation Inc
• Tammi Saffell, LPC
• Michele Lenee Safstrom, P.A. - C
• Sara M Saginaw, D.O.
• Sunita Saharan, RD, LD

• Nurse Practitioner in McKinney, TX
• Providers in McKinney, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.