Active NPI
Accessible Psychiatry PLLC
- Adult Mental Health Clinic/Center
- Wylie, TX
National Provider Identifier
1558145573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebere Ejike-Ilechukwu
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MN
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & 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.