Uduma Behavioral Health Services PLCC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

UDUMA BEHAVIORAL HEALTH SERVICES PLCC

Practice address

2212 Dover LN
Tyler, TX 75703-5822

Phone

(903) 521-4984

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rita Uduma, NP

Title

Ceo

Phone

(903) 521-4984

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1659100667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 DOVER LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035822",
            "telephone_number": "903-521-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 DOVER LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035822",
            "telephone_number": "903-521-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDUMA BEHAVIORAL HEALTH SERVICES PLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "UDUMA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-521-4984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Renee Tyo, MD
• U.S. Healthworks Medical Group of Texas, Inc.
• U'Nique Home Care LLC
• Joseph Udofia, PT, DPT
• Doris Udosen, NP
• Ndukwe Kalu Uduma, MD
• Rita Chioma Uduma
• Uche Ukadike, DO
• Eugene Ukeh
• Danny Underwood Sr.

• Psychiatric/Mental Health Nurse Practitioner in Tyler, TX
• Providers in Tyler, 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 Jul 29, 2024; 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.