Active NPI
CHI Med Psych PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Pearland, TX
National Provider Identifier
1598345571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CHI MED PSYCH PLLC
- Practice address
- 3108 Cactus Grove LN
Pearland, TX 77584-2834 - Phone
- (281) 455-5521
- NPI assigned
- Apr 13, 2021
- Last updated
- Apr 13, 2021
- 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
- Chioma Christine, NP
- Title
- NP
- Phone
- (281) 455-5521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
3108 Cactus Grove LN
Pearland, TX 77584-2834
Mailing address
3108 Cactus Grove LN
Pearland, TX 77584-2834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230228002778 | TX | Part B Supplier - Clinic/Group Practice | 9739552464 | Practice locations: Rosharon, TX |
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, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618272000000",
"number": "1598345571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 CACTUS GROVE LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 CACTUS GROVE LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842834",
"telephone_number": "281-455-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHI MED PSYCH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A",
"authorized_official_last_name": "CHRISTINE",
"authorized_official_first_name": "CHIOMA",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "281-455-5521",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.