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STATE OF MIND PSYCHIATRY, LLC
NPI 1366167082
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since October 05, 2022
4364 WESTERN CENTER BLVD # 2221, FORT WORTH, TX 76137(817) 393-2061 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About State Of Mind Psychiatry, Llc NPPES

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

STATE OF MIND PSYCHIATRY, LLC (NPI 1366167082) is a healthcare organization registered as a psychiatric/mental health in Fort Worth, Texas and active in the NPI registry since October 2022. The organization lists Amanda Kennedy, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1366167082
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSTATE OF MIND PSYCHIATRY, LLC
Location Address4364 WESTERN CENTER BLVD # 2221Fort Worth, TX 76137-2043
Mailing Address4364 Western Center Blvd # 2221Fort Worth, TX 76137-2043 · (817) 393-2061
Phone(817) 393-2061
Organization SubpartNo
Authorized OfficialAmanda KennedyPmhnp · (817) 393-2061
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
✔ NPI 1366167082 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
4364 WESTERN CENTER BLVD # 2221, Fort Worth, TX 76137
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA DAWN KENNEDY DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4364 WESTERN CENTER BLVD # 2221
FORT WORTH, TX 76137
Tarrant County (817) 393-2061

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 State Of Mind Psychiatry, LLC's NPI number?

The NPI number for State Of Mind Psychiatry, LLC is 1366167082. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is State Of Mind Psychiatry, LLC located?

State Of Mind Psychiatry, LLC is located at 4364 Western Center Blvd # 2221, Fort Worth, TX 76137. The listed phone number is (817) 393-2061.

What is State Of Mind Psychiatry, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for State Of Mind Psychiatry, LLC was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.