New Direction Functional Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEW DIRECTION FUNCTIONAL PSYCHIATRY

Doing business as

New Direction Functional Psychiatry Clinic 1

Practice address

4103 S Main St Ste 120
Stafford, TX 77477-5305

Phone

(724) 599-5901

Fax

(877) 774-5688

NPI assigned

Feb 22, 2021

Last updated

Jul 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Gatumu, MD

Title

Owner

Phone

(724) 599-5901

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• NEW DIRECTION FUNCTIONAL PSYCHIATRY CLINIC 1 Doing business as

Locations

Practitioners 1

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.

• Susan W Munga, MD

  • Pain Medicine (Anesthesiology) Physician
  • Conroe, TX
  • NPI 1194049874
  NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1689268500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 S MAIN ST STE 120",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775305",
            "telephone_number": "724-599-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S MAIN ST STE 120",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775305",
            "telephone_number": "724-599-5901",
            "fax_number": "877-774-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTION FUNCTIONAL PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "GATUMU",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-599-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750489845",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW DIRECTION FUNCTIONAL PSYCHIATRY CLINIC 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherelle Denise Nelson, LVN
• Colette Marie Nelson, RN
• Contina Nelson
• Kamillah Nelson
• New Beginning Care Pointe LLC
• New Light Home Health, Inc.
• New Options Development Center Inc
• Lela McCullen Newsom
• Nexgen Durable Care LLC
• Nextlevel Pharmaceuticals LLC

• Psychiatry Physician in Stafford, TX
• Providers in Stafford, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.