Individual provider Active NPI

Mihaela Born

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1871179952
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1058242 Issued in TX
Practice address
552 County Road 253
Georgetown, TX 78633-4113
Phone
(305) 527-2943
NPI assigned
Mar 20, 2021
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 893825 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1058242 TX Primary

Addresses

Primary practice location

552 County Road 253
Georgetown, TX 78633-4113

Mailing address

552 County Road 253
Georgetown, TX 78633-4113
Phone (305) 527-2943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
893825TXMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oaks Psychiatric Hospital LP Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Texas Oaks Psychiatric Hospital, LP CurrentSince Jun 1, 2022 Accepting new patients

Locations

1407 W Stassney Ln
Austin, TX 78745
Phone (512) 440-4800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1871179952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 COUNTY ROAD 253",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334113",
            "telephone_number": "305-527-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 COUNTY ROAD 253",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334113",
            "telephone_number": "305-527-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "MIHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "893825",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1058242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.