Doris Cudjoe, PMHNP -BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144120 Issued in TX

Practice address

2436 Silverado TRL
Grand Prairie, TX 75052-8622

Phone

(682) 521-5673

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anew Era TMS and Psychiatry of Texas, P.a.Group PAC ID 9638579758, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anew Era TMS & Psychiatry of Texas, PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1033710892

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mellow Medical Inc a Professional Corporation

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1407275886

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1669098356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 SILVERADO TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528622",
            "telephone_number": "682-521-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 SILVERADO TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528622",
            "telephone_number": "682-521-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDJOE",
        "first_name": "DORIS",
        "credential": "PMHNP -BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Natural Health, LLC
• Crowned With Glory LLC
• Wendy K Cruz
• CSH Grand Prairie LP (Vibrant Retirement Living)
• CSN Healthcare Solutions LLC
• David Cudlipp, (P.T)
• Yesenia Cuellar, OTR
• Frank Peter Cundari, D.O.
• Kierstin Elizabeth Curtis, CCC-SLP
• CVS Pharmacy Inc (CVS Pharmacy #17318)

• Psychiatric/Mental Health Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, 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 Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.