Organization Active NPI

Totally Psyched Texas LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colleyville, TX
National Provider Identifier
1780527689
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TOTALLY PSYCHED TEXAS LLC
Practice address
5004 Thompson Ter Ste 113
Colleyville, TX 76034-6130
Phone
(817) 856-0509
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Kristopher Oldham, PMHNP-BCNPI 1619357787
Title
Owner
Phone
(817) 856-0509

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5004 Thompson Ter Ste 113
Colleyville, TX 76034-6130

Mailing address

5004 Thompson Ter Ste 113
Colleyville, TX 76034-6130
Phone (817) 856-0509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260515002337 TX Part B Supplier - Clinic/Group Practice 9335618644 Receives reassigned benefits from 1 practitioner
Practice locations: Colleyville, TX

National Provider Directory

National Provider Directory

Locations

5004 Thompson Ter
Ste 113
Colleyville, TX 76034
Phone (817) 856-0509

Practitioners & 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": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1780527689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 THOMPSON TER STE 113",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346130",
            "telephone_number": "817-856-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 THOMPSON TER STE 113",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346130",
            "telephone_number": "817-856-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALLY PSYCHED TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-856-0509",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.

Verify at the official NPI Registry.