Active NPI
Aj Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- AJ PSYCHIATRY PLLC
- Practice address
- 1920 N Coit Rd Ste 219
Richardson, TX 75080-2832 - Phone
- (214) 744-5438
- NPI assigned
- Oct 19, 2020
- Last updated
- Oct 19, 2020
- 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
- Judith W Olepere, MSN, PMHNP-BC
- Title
- Owner of Entity
- Phone
- (214) 744-5438
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1920 N Coit Rd Ste 219
Richardson, TX 75080-2832
Mailing address
650 Bonham Dr
Lavon, TX 75166-1763
Phone (214) 744-5438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1920 N Coit Rd
Ste 219
Richardson, TX 75080
Phone (214) 744-5438
101 S Jackson Ave
Ste 300
Wylie, TX 75098
Phone (214) 629-5829
Practitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Richardson, TX
- NPI 1497213094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1639778947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 BONHAM DR",
"city": "LAVON",
"state": "TX",
"postal_code": "751661763",
"telephone_number": "214-744-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 N COIT RD STE 219",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802832",
"telephone_number": "214-744-5438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJ PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "OLEPERE",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "214-744-5438",
"authorized_official_credential": "MSN, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.