Organization Active NPI

Recovery Mind Behavioral Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1619668191
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RECOVERY MIND BEHAVIORAL HEALTH SERVICES PLLC
Practice address
630 N Highway 67
Cedar Hill, TX 75104-2156
Phone
(469) 754-9744
Fax
(469) 936-7552
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Olubukola YoadeNPI 1396328308
Title
Owner
Phone
(469) 754-9744

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

630 N Highway 67
Cedar Hill, TX 75104-2156

Mailing address

630 N Highway 67
Cedar Hill, TX 75104-2156
Phone (469) 754-9744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226000504 TX Part B Supplier - Clinic/Group Practice 1456871003 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Hill, TX

National Provider Directory

National Provider Directory

Locations

630 N Highway 67
Cedar Hill, TX 75104
Phone (469) 745-4472

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": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1619668191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N HIGHWAY 67",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042156",
            "telephone_number": "469-754-9744",
            "fax_number": "469-936-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N HIGHWAY 67",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042156",
            "telephone_number": "469-754-9744",
            "fax_number": "469-936-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY MIND BEHAVIORAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "YOADE",
        "authorized_official_first_name": "OLUBUKOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-754-9744"
    },
    "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": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.