NPIMap

Organization Active NPI

Sunlight Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1689256083
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUNLIGHT BEHAVIORAL HEALTH LLC
Practice address
20242 Tarpon Bay LN
Cypress, TX 77433-5177
Phone
(316) 371-1400
NPI assigned
Apr 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Authorized official

Name
Kepha S NyangwesoNPI 1891355178
Title
Co Owner
Phone
(316) 371-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

20242 Tarpon Bay LN
Cypress, TX 77433-5177

Mailing address

20242 Tarpon Bay LN
Cypress, TX 77433-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504001064 TX Part B Supplier - Clinic/Group Practice 6305255316 Receives reassigned benefits from 5 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1689256083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20242 TARPON BAY LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20242 TARPON BAY LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335177",
            "telephone_number": "316-371-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "NYANGWESO",
        "authorized_official_first_name": "KEPHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "316-371-1400"
    },
    "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": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.