Organization Active NPI

Regency Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1902540974
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dr. Nelson Kwowi, DNPNPI 1689203853
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
443587701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220819000061 TX Part B Supplier - Clinic/Group Practice 5294118584 Receives reassigned benefits from 2 practitioners
Practice locations: Richardson, TX
O20231215001255 NV Part B Supplier - Clinic/Group Practice 5294118584 Receives reassigned benefits from 1 practitioner
Practice locations: North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.