GENTLE MENTAL TREATMENT CENTER LLC
NPI 1063306942
Nurse Practitioner - Psychiatric/Mental Health in Princeton, TX

Active since June 05, 2025
1771 CRESTRIDGE CIR, PRINCETON, TX 75407(469) 307-2531 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gentle Mental Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENTLE MENTAL TREATMENT CENTER LLC (NPI 1063306942) is a healthcare organization registered as a psychiatric/mental health in Princeton, Texas and active in the NPI registry since June 2025. The organization lists Domikah Olateru-olagbegi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063306942
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGENTLE MENTAL TREATMENT CENTER LLC
Location Address1771 CRESTRIDGE CIRPrinceton, TX 75407-4226
Mailing Address1771 Crestridge CirPrinceton, TX 75407-4226 · (469) 307-2531
Organization SubpartNo
Authorized OfficialDomikah Olateru-olagbegiCeo · (469) 307-2531
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1063306942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1771 CRESTRIDGE CIR, Princeton, TX 75407

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gentle Mental Treatment Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gentle Mental Treatment Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1407453970
1774 W MCDERMOTT DR STE 150
Allen, TX 75013
(469) 340-2777
✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gentle Mental Treatment Center LLC's NPI number?

The NPI number for Gentle Mental Treatment Center LLC is 1063306942. It was assigned to this organization in the NPPES registry on June 5, 2025.

Where is Gentle Mental Treatment Center LLC located?

Gentle Mental Treatment Center LLC is located at 1771 Crestridge Cir, Princeton, TX 75407. The listed phone number is (469) 307-2531.

What is Gentle Mental Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gentle Mental Treatment Center LLC enrolled in Medicare?

Yes. Gentle Mental Treatment Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gentle Mental Treatment Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gentle Mental Treatment Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gentle Mental Treatment Center LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.