Active NPI
Centered Mental Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Princeton, TX
National Provider Identifier
1861262883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2024
- 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
- Rosine Vanderberg
- Title
- Owner
- Phone
- (469) 378-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.