Proactive Minds, PA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PROACTIVE MINDS, PA

Practice address

6575 West Loop S Ste 524
Bellaire, TX 77401-3521

Phone

(281) 900-4337

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By 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

Faiza Haque, APRNNPI 1982249728

Title

Owner

Phone

(281) 900-4374

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Faiza Haque

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearland, TX
  • NPI 1982249728
  NPD Authorized official
• Kimberly Terece Richter, PSYD

  • Professional Counselor
  • Houston, TX
  • NPI 1548590078

  Multi-Specialty

  NPD
• Amazilo M Egbo

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1538880349
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1902581911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 SCENIC VALLEY LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792192",
            "telephone_number": "281-900-4374",
            "fax_number": "281-990-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 WEST LOOP S STE 524",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013521",
            "telephone_number": "281-900-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MINDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "FAIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-900-4374",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julia L Prillaman
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• Peter H Proctor, MD
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• Pamela A Promecene-Cook, M.D.
• Providentia DME
• Provision Imaging of First Street

• Psychiatric/Mental Health Nurse Practitioner in Bellaire, TX
• Providers in Bellaire, 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 Jun 19, 2023; 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.