Organization Active NPI

Giftedhand Integrative Health & Behavioral Medicine, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1932054921
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC
Practice address
12423 Stoneboro CT
Fort Wayne, IN 46845-9570
Phone
(832) 578-4056
Fax
(260) 327-4551
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Olufunke Patience Momoh, DNPNPI 1750041216
Title
Managing Member
Phone
(317) 561-0525

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12423 Stoneboro CT
Fort Wayne, IN 46845-9570

Mailing address

12423 Stoneboro CT
Fort Wayne, IN 46845-9570
Phone (317) 561-0525

Other practice location 1

401 Broadway Ste 100
Tacoma, WA 98402-3900
Phone (317) 561-0525

Other practice location 2

3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251
Phone (832) 578-4056

Other names 1

  • Giftedhand Primary & Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1932054921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12423 STONEBORO CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459570",
            "telephone_number": "317-561-0525",
            "fax_number": "260-327-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12423 STONEBORO CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459570",
            "telephone_number": "832-578-4056",
            "fax_number": "260-327-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Broadway Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023900",
            "country_code": "US",
            "telephone_number": "317-561-0525",
            "fax_number": "317-534-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3611 Branch Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481251",
            "country_code": "US",
            "telephone_number": "832-578-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MOMOH",
        "authorized_official_first_name": "OLUFUNKE",
        "authorized_official_middle_name": "PATIENCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "317-561-0525",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giftedhand Primary & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.