Organization Active NPI

Rapha Behavioral Health Care Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Addison, TX
National Provider Identifier
1609582840
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RAPHA BEHAVIORAL HEALTH CARE INC.
Practice address
15080 E Beltwood Pkwy Ste 108
Addison, TX 75001-3725
Phone
(214) 677-6119
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Mr. Charles Nkemakolam Oriaku, ADMIN
Title
Administrator
Phone
(214) 646-7046

Specialties & licenses 1

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

Addresses

Primary practice location

15080 E Beltwood Pkwy Ste 108
Addison, TX 75001-3725

Mailing address

15080 E Beltwood Pkwy Ste 108
Addison, TX 75001-3725
Phone (214) 677-6119

Other names 1

  • Rapha Behavioral Health Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260116003808 TX Part B Supplier - Clinic/Group Practice 5698252930 Receives reassigned benefits from 1 practitioner
Practice locations: Addison, TX

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": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1609582840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15080 E BELTWOOD PKWY STE 108",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013725",
            "telephone_number": "214-677-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15080 E BELTWOOD PKWY STE 108",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013725",
            "telephone_number": "214-677-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA BEHAVIORAL HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "ORIAKU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "NKEMAKOLAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-646-7046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapha Behavioral Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.