Individual provider Active NPI

Jamillah L Elvehoey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1699400911
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1076973 Issued in TX
Practice address
12075 Spring Cypress Rd
Tomball, TX 77377-8040
Phone
(281) 747-8588
Fax
(281) 666-8880
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1076973 TX Primary

Addresses

Primary practice location

12075 Spring Cypress Rd
Tomball, TX 77377-8040

Mailing address

12075 Spring Cypress Rd Ste D
Tomball, TX 77377-8040
Phone (281) 747-8588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1076973TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sulcata Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 19, 2023 Accepting new patients

Locations

12075 Spring Cypress Rd
Ste D
Tomball, TX 77377
Phone (281) 747-8588

Interoperability endpoints

  • Direct secure messaging: jamillah.elvehoey.1@24262.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24262/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1699400911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 SPRING CYPRESS RD STE D",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778040",
            "telephone_number": "281-747-8588",
            "fax_number": "281-666-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12075 SPRING CYPRESS RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778040",
            "telephone_number": "281-747-8588",
            "fax_number": "281-666-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVEHOEY",
        "first_name": "JAMILLAH",
        "middle_name": "L",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1076973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.