Fourwinds Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FOURWINDS PSYCHIATRY PLLC

Practice address

19206 Juergen Rd
Tomball, TX 77377-5758

Phone

(832) 938-9353

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Martin Mensah, APNNPI 1821743865

Title

President

Phone

(505) 445-4076

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin None Mensah, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tomball, TX
  • NPI 1821743865
  Medicare reassignment Care Compare group NPD Authorized official
• Charity Mensah Des Bordes, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, TX
  • NPI 1699497388
  Medicare reassignment Care Compare group NPD
• Joshua Enyan-Takyi Botchway

  • Psychiatric/Mental Health Nurse Practitioner
  • Conroe, TX
  • NPI 1730900754
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1649925686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2433",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774102433",
            "telephone_number": "505-445-4076",
            "fax_number": "210-444-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19206 JUERGEN RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775758",
            "telephone_number": "832-938-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5282 Medical Dr Ste 605",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296114",
            "country_code": "US",
            "telephone_number": "505-445-4076",
            "fax_number": "210-444-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOURWINDS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-445-4076",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Matthew Forbes, PH.D.
• Brianna Ford, MSCCCSLP
• John Ferrell Ford, PT, DPT
• Tracee Lynn Fossier, LVN
• Demetra Erica Fountain, BSN,RN
• Elizabeth Sanchez Fowler, M.D.
• Shaquaya Natosha Frank
• Ashley Frasier, FNP
• Free Foot Doctor.Com
• Freedom Caregivers and Companions LLC

• Psychiatric/Mental Health Nurse Practitioner in Tomball, TX
• Providers in Tomball, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.