Texas Mind Behavior and Psychiatric Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TEXAS MIND BEHAVIOR AND PSYCHIATRIC CLINIC LLC

Practice address

5900 Balcones Dr # 8229
Austin, TX 78731-4257

Phone

(469) 407-1172

Fax

(682) 222-7024

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Lloyd Ehigie EseneNPI 1013542158

Title

Owner NP

Phone

(469) 407-1172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, DC, VA, NE4 enrollments

Enrollment records 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lloyd Ehigie Esene, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1013542158

  CO, DC, NE, VA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1942922703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN # 2305",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633305",
            "telephone_number": "469-407-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR # 8229",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "469-407-1172",
            "fax_number": "682-222-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MIND BEHAVIOR AND PSYCHIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "ESENE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "EHIGIE",
        "authorized_official_title_or_position": "OWNER NP",
        "authorized_official_telephone_number": "469-407-1172"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, 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 Nov 11, 2024; 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.