Organization Active NPI

Tumaini Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1942014972
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TUMAINI PSYCHIATRY PLLC
Practice address
2300 Valley View LN
Irving, TX 75062-1721
Phone
(682) 593-0477
Fax
(682) 593-0447
NPI assigned
Feb 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Grace Syombua JedidahNPI 1386375665
Title
Pmhnp
Phone
(682) 593-0477

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

2300 Valley View LN
Irving, TX 75062-1721

Mailing address

539 W Commerce St # 3213
Dallas, TX 75208-1953
Phone (682) 593-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422003326 TX Part B Supplier - Clinic/Group Practice 2062937014 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

2300 Valley View Ln
Irving, TX 75062
Phone (682) 593-0477

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": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1942014972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 3213",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "682-593-0477",
            "fax_number": "682-593-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621721",
            "telephone_number": "682-593-0477",
            "fax_number": "682-593-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUMAINI PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "JEDIDAH",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "SYOMBUA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "682-593-0477"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.