Kekam Psychiatry Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KEKAM PSYCHIATRY SERVICES

Practice address

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183

Phone

(214) 253-4007

Fax

(214) 617-0332

NPI assigned

Nov 4, 2022

Organization subpart

No

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

Authorized official

Name

Ugonna Okafor, NURSE PRACTITIONERNPI 1154045789

Title

Pmhnp

Phone

(509) 255-7277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA, OR3 enrollments

Enrollment records 3

Practitioners 1

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

• Ugonna Rose Okafor

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewisville, TX
  • NPI 1154045789

  OR, Single Specialty, WA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1881301224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYPASS SUITE A250 - #1303",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "214-253-4007",
            "fax_number": "214-617-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 S Higley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852965045",
            "country_code": "US",
            "telephone_number": "214-253-4007",
            "fax_number": "214-617-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11335 NE 122nd Way Suite 105 - #2399",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "98034",
            "country_code": "US",
            "telephone_number": "425-728-2859",
            "fax_number": "214-617-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEKAM PSYCHIATRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "UGONNA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "509-255-7277",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Lewisville, TX
• Providers in Lewisville, 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 Aug 2, 2024; 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.