Active NPI
The Hills Psychiatry PLLC
- Child & Adolescent Psychiatry Physician
- El Paso, TX
National Provider Identifier
1700667649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tolulope Shada, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Child & Adolescent Psychiatry Physician
- El Paso, TX
- NPI 1841788619
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": []
}
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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.