Organization Active NPI

Sunflower Autism and Psychiatric Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1740041987
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUNFLOWER AUTISM AND PSYCHIATRIC ASSOCIATES
Practice address
560 N Kimball Ave Ste 130
Southlake, TX 76092-6879
Phone
(817) 899-8485
Fax
(817) 977-9025
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Dr. Heather Holland Skrivanek, PHD APRN CPNP, PMHNPNPI 1336243351
Title
Owner/NP
Phone
(817) 899-8485

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

560 N Kimball Ave Ste 130
Southlake, TX 76092-6879

Mailing address

560 N Kimball Ave Ste 130
Southlake, TX 76092-6879
Phone (817) 899-8485

Other names 2

  • Sunflower Autism and Psychiatric Associates Doing business as
  • Sunflower Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

640 N Carroll Ave
Ste 110
Southlake, TX 76092

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1740041987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N KIMBALL AVE STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926879",
            "telephone_number": "817-899-8485",
            "fax_number": "817-977-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N KIMBALL AVE STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926879",
            "telephone_number": "817-899-8485",
            "fax_number": "817-977-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER AUTISM AND PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "SKRIVANEK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "HOLLAND",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "817-899-8485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD APRN CPNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunflower Autism and Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunflower Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunflower Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.