Tikvah Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TIKVAH PSYCHIATRY LLC

Practice address

112 Grey Stone St
Aledo, TX 76008-1156

Phone

(361) 332-2910

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Dede Epeeham Echitey, FNP-PMHNP-BC

Title

Nurse Practitioner

Phone

(361) 332-2910

Specialties & licenses 1

Addresses

Other names 1

• Tikvah Psychiatry Doing business as

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1669249520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GREY STONE ST",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081156",
            "telephone_number": "361-332-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GREY STONE ST",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081156",
            "telephone_number": "361-332-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIKVAH PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ECHITEY",
        "authorized_official_first_name": "DEDE",
        "authorized_official_middle_name": "EPEEHAM",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "361-332-2910",
        "authorized_official_credential": "FNP-PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tikvah Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tikvah Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.