Organization Active NPI

Windham Pyschiatry P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Odessa, TX
National Provider Identifier
1639862089
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WINDHAM PYSCHIATRY P.C.
Practice address
2412 N Grandview Ave Ste 201
Odessa, TX 79761-1631
Phone
(432) 352-9767
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Sandra Nicole WindhamNPI 1508468927
Title
Pmhnp-BC
Phone
(143) 235-2976

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2412 N Grandview Ave Ste 201
Odessa, TX 79761-1631

Mailing address

2412 N Grandview Ave Ste 201
Odessa, TX 79761-1631
Phone (432) 352-9767

National Provider Directory

National Provider Directory

Locations

2412 N Grandview Ave
Ste 201
Odessa, TX 79761
Phone (432) 272-0273

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1639862089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N GRANDVIEW AVE STE 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611631",
            "telephone_number": "432-352-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N GRANDVIEW AVE STE 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611631",
            "telephone_number": "432-352-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM PYSCHIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "143-235-2976"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.