Innova Mind and Body

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INNOVA MIND AND BODY

Practice address

16712 Huffmeister Rd Ste 400a
Cypress, TX 77429-8695

Phone

(832) 850-3110

Fax

(832) 850-3112

NPI assigned

Jul 14, 2023

Last updated

Nov 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Sandoval-Alexander, NPNPI 1023464690

Title

Owner

Phone

(832) 250-3746

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 39

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.

• Alicia Sandoval-Alexander, NP, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
  • NPI 1023464690

  Family

  Medicare reassignment NPD Authorized official
• Magdalena Benavides, LPCA

  • Professional Counselor
  • Houston, TX
  • NPI 1740092154
  NPD
• Brenda Lamon Berger

  • Professional Counselor
  • Houston, TX
  • NPI 1598304842
  NPD
• Dina Duran Blume, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1063609923
  NPD
• Linda Brown, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1700438470

  Single Specialty

  NPD
• Kaci Bryant, LPC

  • Professional Counselor
  • Cypress, TX
  • NPI 1841841939
  NPD
• Jagdeep Chadha, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1780285783
  NPD
• Stephanie Ellis, PH.D.

  • Counseling Psychologist
  • Houston, TX
  • NPI 1376906172
  NPD
• Emilio Gonzalez, MA, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1699305128
  NPD
• Esmeralda Gonzalez, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1235696535
  NPD
• Audra Michelle Jones-Partee, LPC-INTERN

  • Mental Health Counselor
  • Houston, TX
  • NPI 1316562291
  NPD
• Angela Cecilia Medina, LPC-S

  • Mental Health Counselor
  • Houston, TX
  • NPI 1689912743
  NPD

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1649959818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16712 HUFFMEISTER RD STE 400A",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298695",
            "telephone_number": "832-850-3110",
            "fax_number": "832-850-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16712 HUFFMEISTER RD STE 400A",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298695",
            "telephone_number": "832-850-3110",
            "fax_number": "832-850-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA MIND AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL-ALEXANDER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-250-3746",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Cypress, TX
• Providers in Cypress, 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 Nov 29, 2024; 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.