Stable Mind Therapy

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STABLE MIND THERAPY

Practice address

2012 E Highway
9Oa
Richmond, TX 77406

Phone

(832) 535-1101

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Sijuwade Adegoju

Title

Owner

Phone

(832) 863-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1720718364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18514 PROVIDENCE LANDING LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071201",
            "telephone_number": "832-863-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 E HIGHWAY",
            "address_2": "9OA",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77406",
            "telephone_number": "832-535-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18514 Providence Landing Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774071201",
            "country_code": "US",
            "telephone_number": "832-863-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STABLE MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "ADEGOJU",
        "authorized_official_first_name": "SIJUWADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-863-8200"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Richmond, TX
• Providers in Richmond, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.