Organization Active NPI

Everest Functional Psychiatry and Wellness, PLLC

  • Nursing Care Agency
  • Dallas, TX
National Provider Identifier
1750080081
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
EVEREST FUNCTIONAL PSYCHIATRY AND WELLNESS, PLLC
Practice address
8222 Douglas Ave Ste 375
Dallas, TX 75225-5973
Phone
(972) 839-8466
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Everest GoldsteinNPI 1477211332
Title
Nurse Practitioner
Phone
(972) 839-8466

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
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

8222 Douglas Ave Ste 375
Dallas, TX 75225-5973

Mailing address

8222 Douglas Ave Ste 375
Dallas, TX 75225-5973
Phone (972) 839-8466

Other identifiers 1

IdentifierTypeStateIssuer
1477211332OtherNPI

National Provider Directory

National Provider Directory

Locations

8222 Douglas Ave
Ste 375
Dallas, TX 75225
Phone (214) 905-5090

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": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1750080081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255973",
            "telephone_number": "972-839-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255973",
            "telephone_number": "972-839-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST FUNCTIONAL PSYCHIATRY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "EVEREST",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "972-839-8466"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477211332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.