Active NPI
Gold Mind Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, TX
National Provider Identifier
1730937905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GOLD MIND PSYCHIATRY
- Practice address
- 11754 Giovanni LN
Richmond, TX 77406-1535 - Phone
- (281) 901-0044
- Fax
- (281) 572-8631
- NPI assigned
- May 10, 2024
- Last updated
- May 10, 2024
- 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
- Sophie Mbua, APRN
- Title
- Owner/Pmhnp-BC
- Phone
- (281) 901-0044
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11754 Giovanni LN
Richmond, TX 77406-1535
Mailing address
11754 Giovanni LN
Richmond, TX 77406-1535
Phone (281) 901-0044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811534902 | Other | NPPES(NPI) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1730937905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11754 GIOVANNI LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774061535",
"telephone_number": "281-901-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11754 GIOVANNI LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774061535",
"telephone_number": "281-901-0044",
"fax_number": "281-572-8631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD MIND PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-10",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "MBUA",
"authorized_official_first_name": "SOPHIE",
"authorized_official_title_or_position": "OWNER/PMHNP-BC",
"authorized_official_telephone_number": "281-901-0044",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES(NPI)",
"identifier": "1811534902",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.