Organization Active NPI

The Hills Psychiatry PLLC

  • Child & Adolescent Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1700667649
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
THE HILLS PSYCHIATRY PLLC
Practice address
1445 Bessemer Dr Ste E
El Paso, TX 79936-5909
Phone
(915) 540-6673
Fax
(915) 232-9873
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Tolulope Shada, MDNPI 1841788619
Title
Owner
Phone
(915) 910-4661

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
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

1445 Bessemer Dr Ste E
El Paso, TX 79936-5909

Mailing address

1445 Bessemer Dr Ste E
El Paso, TX 79936-5909
Phone (915) 540-6673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020003089 TX Part B Supplier - Clinic/Group Practice 6901252337 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1445 Bessemer Dr
Ste E
El Paso, TX 79936
Phone (915) 472-9282

100 Executive Center Blvd
Ste B
El Paso, TX 79902
Phone (205) 427-0283

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1700667649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BESSEMER DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365909",
            "telephone_number": "915-540-6673",
            "fax_number": "915-232-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BESSEMER DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365909",
            "telephone_number": "915-540-6673",
            "fax_number": "915-232-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HILLS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "SHADA",
        "authorized_official_first_name": "TOLULOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-910-4661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.