Calmcare Behavioral and Wellness Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CALMCARE BEHAVIORAL AND WELLNESS CENTER LLC

Practice address

3960 Broadway Blvd Ste 230
Garland, TX 75043-2591

Phone

(214) 584-4103

Fax

(469) 442-0647

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Jackie I Penn, NPNPI 1972940260

Title

Manager/Provider

Phone

(214) 584-4103

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jackie Ijeoma Penn, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1972940260
  NPD Authorized official
• Geoffrey Iheukwumere Nzeadibe

  • Home Health Aide
  • Garland, TX
  • NPI 1720149982

  Single Specialty

  NPD

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1871308056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 230",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432591",
            "telephone_number": "214-584-4103",
            "fax_number": "469-442-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 230",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432591",
            "telephone_number": "214-584-4103",
            "fax_number": "469-442-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMCARE BEHAVIORAL AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER/PROVIDER",
        "authorized_official_telephone_number": "214-584-4103",
        "authorized_official_credential": "NP"
    },
    "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": []
}

• Lysa Cage
• Leigh Ann Cagle, STA
• Laurie Suzanne Cain
• Daisy Y Calderon
• Chiquinta L Caldwell, BSN. RN-BC
• Anne S. Calvert, PH.D.
• Ashley Nicole Camacho
• Emily Camara, DDS
• Dana Camp, SLP
• Amy Maxwell Campbell, MS LMFT-A

• Psychiatric/Mental Health Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.