Organization Active NPI

Centered Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Princeton, TX
National Provider Identifier
1861262883
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CENTERED MENTAL HEALTH LLC
Practice address
123 W Princeton Dr
Princeton, TX 75407-8831
Phone
(469) 378-0040
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Rosine Vanderberg
Title
Owner
Phone
(469) 378-0040

Specialties & licenses 1

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

Addresses

Primary practice location

123 W Princeton Dr
Princeton, TX 75407-8831

Mailing address

123 W Princeton Dr
Princeton, TX 75407-8831

National Provider Directory

National Provider Directory

Locations

123 W Princeton Dr
Princeton, TX 75407
Phone (302) 385-6668

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1861262883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W PRINCETON DR",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754078831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W PRINCETON DR",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754078831",
            "telephone_number": "469-378-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "VANDERBERG",
        "authorized_official_first_name": "ROSINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-378-0040"
    },
    "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 Princeton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.