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BLUEHAVEN PSYCHIATRY PLLC
NPI 1215718184
Psychiatry & Neurology - Psychiatry in Garland, TX

Active since October 09, 2023
3960 BROADWAY BLVD STE 140, GARLAND, TX 75043(316) 516-4972 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bluehaven Psychiatry Pllc NPPES

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

BLUEHAVEN PSYCHIATRY PLLC (NPI 1215718184) is a healthcare organization registered as a psychiatry in Garland, Texas and active in the NPI registry since October 2023. The organization lists Ngomeni M Mbilikira, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215718184
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBLUEHAVEN PSYCHIATRY PLLC
Location Address3960 BROADWAY BLVD STE 140Garland, TX 75043-2593
Mailing Address940 W Fm 544 Unit 625Wylie, TX 75098-3330 · (214) 432-1669 · Fax (214) 416-7823
Phone(316) 516-4972
Organization SubpartNo
Authorized OfficialNgomeni M MbilikiraCeo · (214) 432-1669
Enumeration DateOctober 9, 2023
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1215718184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3960 BROADWAY BLVD STE 140, Garland, TX 75043
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluehaven Psychiatry Pllc 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 Bluehaven Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ngomeni Mbilikira, PMHNP
Nurse Practitioner
NPI 1578251070
3960 BROADWAY BLVD STE 140
Garland, TX 75043
(972) 836-7985
✔ PECOS✔ Accepts MedicareSame address

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 Bluehaven Psychiatry PLLC's NPI number?

The NPI number for Bluehaven Psychiatry PLLC is 1215718184. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Bluehaven Psychiatry PLLC located?

Bluehaven Psychiatry PLLC is located at 3960 Broadway Blvd Ste 140, Garland, TX 75043. The listed phone number is (316) 516-4972.

What is Bluehaven Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Bluehaven Psychiatry PLLC enrolled in Medicare?

Yes. Bluehaven Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluehaven Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bluehaven Psychiatry PLLC. 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.

What insurance does Bluehaven Psychiatry PLLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Molina Healthcare list Bluehaven Psychiatry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluehaven Psychiatry PLLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.