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SULCATA PSYCHIATRY PLLC NPI 1699362350


NPI Information

NPI: 1699362350
Provider Name: SULCATA PSYCHIATRY PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 45D2231174

Address:
12075 SPRING CYPRESS RD STE D
TOMBALL, TX
ZIP 77377
Phone: (281) 747-8588
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SULCATA PSYCHIATRY PLLC is a mental health (including community mental health center) clinic center in Tomball, TX. SULCATA PSYCHIATRY PLLC NPI is 1699362350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12075 SPRING CYPRESS RD STE D
TOMBALL, TX
ZIP 77377-040
Phone: (281) 747-8588
Fax: (281) 666-8880

The provider's authorized official is Stoni Johnston .
The authorized official title is Owner, Aprn and has the following contact phone number (281) 747-8588.

The CLIA number assigned to this NPI record is 45D2231174 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2020 and was last updated on 2/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
2101YP2500XCounselorProfessionalNo
31041C0700XSocial WorkerClinicalNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.