Active NPI
Regency Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- REGENCY PSYCHIATRIC SERVICES LLC
- Practice address
- 1801 Gateway Blvd Ste 212
Richardson, TX 75080-3626 - Phone
- (469) 490-1505
- Fax
- (469) 490-1516
- NPI assigned
- Apr 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nelson Kwowi, DNP
- Title
- Owner
- Phone
- (469) 490-1505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1801 Gateway Blvd Ste 212
Richardson, TX 75080-3626
Mailing address
1801 Gateway Blvd Ste 212
Richardson, TX 75080-3626
Phone (469) 490-1505
Other practice location 1
5121 Blue Rose St
North Las Vegas, NV 89081-2678
Phone (469) 490-1505
Other practice location 2
1116 W Parker Rd Ste 308A
Plano, TX 75075-2273
Phone (469) 490-1505
Other practice location 3
5904 Lantern Ln
Grand Prairie, TX 75052-8768
Phone (325) 320-0414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443587701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NV
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1116 W Parker Rd
Ste 308A
Plano, TX 75075
Phone (469) 490-1505
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Las Vegas, NV
- NPI 1689203853
TX
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1447121157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1902540974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 GATEWAY BLVD STE 212",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803626",
"telephone_number": "469-490-1505",
"fax_number": "469-490-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 GATEWAY BLVD STE 212",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803626",
"telephone_number": "469-490-1505",
"fax_number": "469-490-1516"
}
],
"practiceLocations": [
{
"address_1": "5121 Blue Rose St",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890812678",
"country_code": "US",
"telephone_number": "469-490-1505",
"fax_number": "469-490-1516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1116 W Parker Rd Ste 308A",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750752273",
"country_code": "US",
"telephone_number": "469-490-1505",
"fax_number": "469-490-1516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5904 Lantern Ln",
"address_purpose": "LOCATION",
"city": "Grand Prairie",
"state": "TX",
"postal_code": "750528768",
"country_code": "US",
"telephone_number": "325-320-0414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGENCY PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-25",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "KWOWI",
"authorized_official_first_name": "NELSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-490-1505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "443587701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.