Organization Active NPI

Ultimate Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1790220291
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132780 Issued in TX
Legal business name
ULTIMATE PSYCHIATRY PLLC
Practice address
14135 Sundial Stone LN
Cypress, TX 77429-1100
Phone
(614) 804-0635
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Gostine Dankwa, PMHNP-BC
Title
Manager
Phone
(614) 804-0635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP132780 TX Primary

Addresses

Primary practice location

14135 Sundial Stone LN
Cypress, TX 77429-1100

Mailing address

14135 Sundial Stone LN
Cypress, TX 77429-1100
Phone (614) 804-0635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1790220291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 SUNDIAL STONE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291100",
            "telephone_number": "614-804-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 SUNDIAL STONE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291100",
            "telephone_number": "614-804-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "DANKWA",
        "authorized_official_first_name": "GOSTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-804-0635",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.