Active NPI
Polished Mind Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Euless, TX
National Provider Identifier
1811626849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- POLISHED MIND PSYCHIATRY PLLC
- Practice address
- 1401 Royal Pkwy Ste C
Euless, TX 76040-6725 - Phone
- (214) 378-5577
- Fax
- (214) 983-1110
- NPI assigned
- Jun 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Modupeoluwa Odu-Onikosi
- Title
- Ceo
- Phone
- (214) 960-6652
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1401 Royal Pkwy Ste C
Euless, TX 76040-6725
Mailing address
1401 Royal Pkwy Ste C
Euless, TX 76040-6725
Phone (214) 378-5577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 Royal Pkwy
Ste C
Euless, TX 76040
Phone (214) 378-5577
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Euless, TX
- NPI 1689261513
-
- Psychiatric/Mental Health Nurse Practitioner
- Frisco, TX
- NPI 1437833795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1811626849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 ROYAL PKWY STE C",
"city": "EULESS",
"state": "TX",
"postal_code": "760406725",
"telephone_number": "214-378-5577",
"fax_number": "214-983-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 ROYAL PKWY STE C",
"city": "EULESS",
"state": "TX",
"postal_code": "760406725",
"telephone_number": "214-378-5577",
"fax_number": "214-983-1110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLISHED MIND PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "ODU-ONIKOSI",
"authorized_official_first_name": "MODUPEOLUWA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-960-6652"
},
"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 Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.