Organization Active NPI

Sparrow Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1861376477
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SPARROW MENTAL HEALTH PLLC
Practice address
2525 Kell Blvd Ste 302
Wichita Falls, TX 76308-1049
Phone
(940) 432-3444
Fax
(940) 432-5558
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Mrs. Miranda June Clemons, PMHNPNPI 1437034584
Title
Psychiatric Nurse Practitioner
Phone
(817) 301-6277

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

Addresses

Primary practice location

2525 Kell Blvd Ste 302
Wichita Falls, TX 76308-1049

Mailing address

888 Casino Rd
Nocona, TX 76255-0940
Phone (817) 301-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251010004163 TX Part B Supplier - Clinic/Group Practice 1658878947 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

2525 Kell Blvd
Ste 302
Wichita Falls, TX 76308
Phone (940) 432-3444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1861376477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 CASINO RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762550940",
            "telephone_number": "817-301-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KELL BLVD STE 302",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081049",
            "telephone_number": "940-432-3444",
            "fax_number": "940-432-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "817-301-6277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "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 Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.