Individual provider Active NPI

Ifeoma Cynthia Nwugbana, M.D.

  • Child & Adolescent Psychiatry Physician
  • The Woodlands, TX
National Provider Identifier
1760823009
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
R8631 Issued in TX
Practice address
2700 Research Forest Dr Ste 130
The Woodlands, TX 77381-4252
Phone
(281) 528-4226
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X R8631 TX Primary

Addresses

Primary practice location

2700 Research Forest Dr Ste 130
The Woodlands, TX 77381-4252

Mailing address

2700 Research Forest Dr Ste 130
The Woodlands, TX 77381-4252
Phone (281) 528-4226

Other practice location 1

1276 Fulton Ave
Bronx, NY 10456-3402
Phone (718) 590-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305001160 TX Practitioner - Psychiatry 6608203542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Add Health and Wellness of the Woodlands, LLC CurrentSince May 10, 2020 Accepting new patients
Optima Forensic Psychological Services CurrentSince Jun 3, 2025 Accepting new patients
The Harris Center for Mental Health and Idd CurrentSince Feb 17, 2020 Accepting new patients

Locations

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

2700 Research Forest Dr
Ste 130
The Woodlands, TX 77381
Phone (281) 528-4226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1760823009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 RESEARCH FOREST DR STE 130",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814252",
            "telephone_number": "281-528-4226",
            "fax_number": "281-419-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 RESEARCH FOREST DR STE 130",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814252",
            "telephone_number": "281-528-4226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104563402",
            "country_code": "US",
            "telephone_number": "718-590-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWUGBANA",
        "first_name": "IFEOMA",
        "middle_name": "CYNTHIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "R8631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.