Active NPI
Aminu Sufu Mahmud, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Rosharon, TX
National Provider Identifier
1467717660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1215708
- Practice address
- 13303 Redwood Trail LN
Rosharon, TX 77583-0436 - Phone
- (346) 219-7516
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 330828 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP70053563 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1215708 | TX | Primary |
Addresses
Primary practice location
13303 Redwood Trail LN
Rosharon, TX 77583-0436
Mailing address
13303 Redwood Trail LN
Rosharon, TX 77583-0436
Phone (346) 219-7516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330828 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1215708 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP70053563 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etage D'Amour Behavioral Healthcare Service | Psychiatric/Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Rosharon, TX
- NPI 1013871052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1467717660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13303 REDWOOD TRAIL LN",
"city": "ROSHARON",
"state": "TX",
"postal_code": "775830436",
"telephone_number": "346-219-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13303 REDWOOD TRAIL LN",
"city": "ROSHARON",
"state": "TX",
"postal_code": "775830436",
"telephone_number": "346-219-7516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMUD",
"first_name": "AMINU",
"middle_name": "SUFU",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "330828",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP70053563",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1215708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosharon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.