Organization Active NPI

Accessible Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Wylie, TX
National Provider Identifier
1558145573
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ACCESSIBLE PSYCHIATRY PLLC
Practice address
1640 Breezy Bay CT
Wylie, TX 75098-0815
Phone
(763) 222-5419
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Ebere Ejike-IlechukwuNPI 1295333268
Title
Owner / Authorized Official
Phone
(972) 982-7505

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1640 Breezy Bay CT
Wylie, TX 75098-0815

Mailing address

1640 Breezy Bay CT
Wylie, TX 75098-0815
Phone (763) 222-5419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240725002338 TX Part B Supplier - Clinic/Group Practice 9133665151 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX
O20240729002216 MN Part B Supplier - Clinic/Group Practice 9133665151 Receives reassigned benefits from 1 practitioner
Practice locations: Champlin, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1558145573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 BREEZY BAY CT",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980815",
            "telephone_number": "763-222-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BREEZY BAY CT",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980815",
            "telephone_number": "763-222-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSIBLE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "EJIKE-ILECHUKWU",
        "authorized_official_first_name": "EBERE",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-982-7505"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.