Ican Medics and Psych Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ICAN MEDICS AND PSYCH SERVICES PLLC

Practice address

9535 Forest LN Ste 109
Dallas, TX 75243-5934

Phone

(469) 709-8444

Fax

(469) 709-8445

NPI assigned

Apr 26, 2019

Organization subpart

No

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

Authorized official

Name

Ngozika Tracey Njoku, PHMNP-BC, FNP-C

Title

Clinical Director

Phone

(339) 364-0717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1689238461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435934",
            "telephone_number": "469-709-8444",
            "fax_number": "469-709-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435934",
            "telephone_number": "469-709-8444",
            "fax_number": "469-709-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN MEDICS AND PSYCH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "NGOZIKA",
        "authorized_official_middle_name": "TRACEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "339-364-0717",
        "authorized_official_credential": "PHMNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, 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 Feb 6, 2020; 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.