Deluxe Mind & Body Medical Spa LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DELUXE MIND & BODY MEDICAL SPA LLC

Practice address

6214 Presidio Canyon Dr
Katy, TX 77450-8756

Phone

(832) 584-4092

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Odiri AkusheNPI 1023496726

Title

Owner

Phone

(832) 584-4092

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Odiri O Akushe

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
  • NPI 1023496726
  NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1891462438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 LAKE CHARLOTTE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068096",
            "telephone_number": "832-584-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 PRESIDIO CANYON DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508756",
            "telephone_number": "832-584-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE MIND & BODY MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "AKUSHE",
        "authorized_official_first_name": "ODIRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-584-4092"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel M Deleon
• Yesy Delgado Nunez
• Victor Manuel Delgado, PT, DPT
• Kathleen Dell'Orco, RNC,WHNP
• Kathryn Kay Hawrylak Delozier
• Kimberly Demby, PH.D.
• Maria Fe Teresa Demdem
• Ariane Demers
• Sonali Demla, DDS
• Katherine R. Dennis, RN

• Psychiatric/Mental Health Nurse Practitioner in Katy, TX
• Providers in Katy, 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 23, 2021; 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.