Unique Behavioral Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

UNIQUE BEHAVIORAL CLINIC PLLC

Practice address

1821 N 23Rd St # 122
McAllen, TX 78501-8538

Phone

(956) 215-7332

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ajibola Fat-AnthonyNPI 1437670841

Title

Manager

Phone

(956) 215-7332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajibola Fat-Anthony, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • McAllen, TX
  • NPI 1437670841
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1578309134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N 23RD ST # 122",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N 23RD ST # 122",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018538",
            "telephone_number": "956-215-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE BEHAVIORAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "FAT-ANTHONY",
        "authorized_official_first_name": "AJIBOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-215-7332"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry H Tyminski Jr., D.D.S.
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• University of Texas Rio Grande Valley
• University of Texas Rio Grande Valley (UT Health RGV Surgery Center)
• Unlimited Kindness LLC

• Psychiatric/Mental Health Nurse Practitioner in McAllen, TX
• Providers in McAllen, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.