IDEAL PSYCHIATRY PLLC NPI 1356139364

NPI Information

  • NPI: 1356139364
  • Provider Name: IDEAL PSYCHIATRY PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 13609 HACKBERRY MANOR DR
    WILLIS, TX
    ZIP 77318
  • Phone: (281) 704-0410

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NPI Details

IDEAL PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Willis, TX. IDEAL PSYCHIATRY PLLC NPI is 1356139364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13609 HACKBERRY MANOR DR
WILLIS, TX
ZIP 77318-417
Phone: (281) 704-0410

The provider's authorized official is Cathy Ann Taylor .
The authorized official title is Owner/psychiatric Np and has the following contact phone number (281) 704-0410.

The enumeration date for this NPI number is 4/29/2025 and was last updated on 4/29/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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