Organization Active NPI

Kryskay Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1508570706
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KRYSKAY PSYCHIATRY PLLC
Practice address
117 Melbourne Rd
Hurst, TX 76053-6318
Phone
(682) 202-0591
Fax
(682) 334-7615
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Pauline N Ireagbu George, MSN, CNP, PMHNP-BCNPI 1760017065
Title
Owner of Entity
Phone
(682) 202-0591

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

117 Melbourne Rd
Hurst, TX 76053-6318

Mailing address

117 Melbourne Rd
Hurst, TX 76053-6318
Phone (682) 202-0591

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230201001897 TX Part B Supplier - Clinic/Group Practice 8527439405 Receives reassigned benefits from 3 practitioners
Practice locations: Hurst, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1508570706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536318",
            "telephone_number": "682-202-0591",
            "fax_number": "682-334-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536318",
            "telephone_number": "682-202-0591",
            "fax_number": "682-334-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSKAY PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "IREAGBU GEORGE",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "682-202-0591",
        "authorized_official_credential": "MSN, CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.