Individual provider Active NPI

Emily Brozgal, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1881018265
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
781474 Issued in TX
Practice address
19701 Kingwood Dr BLDG 3
Kingwood, TX 77339-3773
Phone
(281) 358-5701
NPI assigned
Feb 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 781474 TX Primary

Addresses

Primary practice location

19701 Kingwood Dr BLDG 3
Kingwood, TX 77339-3773

Mailing address

19701 Kingwood Dr BLDG 3
Kingwood, TX 77339-3773
Phone (281) 358-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208000145 TX Practitioner - Nurse Practitioner 1355641796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athi P Venkatesh MD PAGroup PAC ID 0749213403, 10 clinicians

Practice addresses (Care Compare)

19701 Kingwood Dr
Suite 3
Kingwood, TX 77339-3773
Phone (281) 358-5701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
781474TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athi P Venkatesh MD PA CurrentSince Mar 1, 2016 Accepting new patients
Develop Counseling & Consulting Services LLC CurrentSince Mar 9, 2022 Accepting new patients

Locations

19701 Kingwood Dr
Bldg 3
Kingwood, TX 77339
Phone (281) 358-5701

150 Pine Forest Dr
Ste 108
Shenandoah, TX 77384
Phone (281) 358-5701

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1881018265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR BLDG 3",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-358-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR BLDG 3",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-358-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZGAL",
        "first_name": "EMILY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "781474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.