Organization Active NPI

Baobab Psychiatric Services, PLLC

  • Psychiatry Physician
  • Round Rock, TX
National Provider Identifier
1861144032
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BAOBAB PSYCHIATRIC SERVICES, PLLC
Practice address
2200 N a W Grimes Blvd Ste 600
Round Rock, TX 78665-2745
Phone
(512) 655-3104
Fax
(833) 955-3628
NPI assigned
Jan 19, 2022
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Komi Afangnon Kokou-Abi, DNP PMHNP-BCNPI 1558910810
Title
Executive Director
Phone
(865) 306-8847

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Psychologist 103T00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2200 N a W Grimes Blvd Ste 600
Round Rock, TX 78665-2745

Mailing address

2200 N a W Grimes Blvd Ste 600
Round Rock, TX 78665-2745
Phone (512) 655-3104

Other practice location 1

8700 Menchaca Rd Ste 404
Austin, TX 78748-5375
Phone (512) 655-3104

National Provider Directory

National Provider Directory

Locations

8700 Menchaca Rd
Ste 404
Austin, TX 78748
Phone (512) 655-3104

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25870/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1861144032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N A W GRIMES BLVD STE 600",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652745",
            "telephone_number": "512-655-3104",
            "fax_number": "833-955-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N A W GRIMES BLVD STE 600",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652745",
            "telephone_number": "512-655-3104",
            "fax_number": "833-955-3628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Menchaca Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485375",
            "country_code": "US",
            "telephone_number": "512-655-3104",
            "fax_number": "833-955-3628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAOBAB PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "KOKOU-ABI",
        "authorized_official_first_name": "KOMI",
        "authorized_official_middle_name": "AFANGNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-306-8847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.