Active NPI
Saheed Shittu
- Psychiatric/Mental Health Nurse Practitioner
- Fulshear, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F405857
- Practice address
- 30235 Liatris Bend LN
Fulshear, TX 77423-2914 - Phone
- (718) 737-4581
- NPI assigned
- Apr 2, 2013
- Last updated
- Dec 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 308614 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0101067 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1117014 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F405857 | NY | Primary |
Addresses
Primary practice location
30235 Liatris Bend LN
Fulshear, TX 77423-2914
Mailing address
30235 Liatris Bend LN
Fulshear, TX 77423-2914
Phone (718) 737-4582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308614 | NY | MD | Licensed Practical Nurse |
| APN.0101067 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| F405857 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1117014 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Shakespeare Operating LLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Azure Stone Mental Health & Wellness LLC | Current | Accepting new patients |
Locations
950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
2000 S Eagle Rd
Meridian, ID 83642
Phone (208) 539-6557
1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
dba Bronx Treatment Center
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1720634538
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Meridian, ID
- NPI 1922879394
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
ID
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1952644593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30235 LIATRIS BEND LN",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774232914",
"telephone_number": "718-737-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30235 LIATRIS BEND LN",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774232914",
"telephone_number": "718-737-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHITTU",
"first_name": "SAHEED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "308614",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0101067",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1117014",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F405857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulshear, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.