Individual provider Active NPI

Susan Msoma, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1821712290
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1018924 Issued in TX
Practice address
1125 Cypress Station Dr Ste B-1
Houston, TX 77090-3055
Phone
(281) 586-7880
Fax
(281) 580-5061
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1018924 TX Primary

Addresses

Primary practice location

1125 Cypress Station Dr Ste B-1
Houston, TX 77090-3055

Mailing address

8850 Long Point Rd Apt 7215
Houston, TX 77055-3080
Phone (615) 668-9557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209001992 TX Practitioner - Nurse Practitioner 3476089830 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1018924TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Nov 27, 2024 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 27, 2025 Accepting new patients
Nest Psychiatry PLLC PastSince Oct 2, 2022 Accepting new patients

Locations

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1821712290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 LONG POINT RD APT 7215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553080",
            "telephone_number": "615-668-9557",
            "fax_number": "281-580-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE B-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "281-586-7880",
            "fax_number": "281-580-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MSOMA",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1018924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.