Organization Active NPI

Hamada Healing Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1982479176
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HAMADA HEALING CENTER
Practice address
675 Town Square Blvd BLDG 1a
Garland, TX 75040-2992
Phone
(601) 504-0180
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Andrea Yoshiko Carter, PMHNPNPI 1417619701
Title
Ownwe
Phone
(601) 504-0180

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

675 Town Square Blvd BLDG 1a
Garland, TX 75040-2992

Mailing address

675 Town Square Blvd BLDG 1a
Garland, TX 75040-2992
Phone (601) 504-0180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131001665 TX Part B Supplier - Clinic/Group Practice 3971956491 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

Practitioners & affiliated clinicians

Practitioners 2

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": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1982479176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD BLDG 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "601-504-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD BLDG 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "601-504-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMADA HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "YOSHIKO",
        "authorized_official_title_or_position": "OWNWE",
        "authorized_official_telephone_number": "601-504-0180",
        "authorized_official_credential": "PMHNP"
    },
    "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 Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.