JOSEPHA IMMANUEL M.D
NPI 1578853586
Psychiatry & Neurology - Child & Adolescent Psychiatry in Houston, TX

Q: What is Josepha Immanuel's NPI number?

The NPI number for Josepha Immanuel is 1578853586. It was assigned to this individual provider in the NPPES registry on April 11, 2011. The provider is also known as Josepha-Pearl Aigbodesi Iluonakhamhe MD.

Q: What is Josepha Immanuel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Josepha Immanuel was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 11, 2011PECOS Enrolled

5602 LYONS AVE, HOUSTON, TX 77020(832) 548-5000 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Aug 20, 2018, Feb 2, 2017 and 1 more (4 updates tracked since 2016).

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About Josepha Immanuel M.d NPPES

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

JOSEPHA IMMANUEL M.D (NPI 1578853586) is an individual child & adolescent psychiatry provider in Houston, Texas, licensed in Texas (R0252) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1578853586

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameJOSEPHA IMMANUELCredential: M.D

Location Address5602 LYONS AVEHouston, TX 77020

Mailing AddressPo Box 66308Houston, TX 77266-6308

Phone(832) 548-5000

Sole ProprietorNo

Enumeration DateApril 11, 2011

Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1578853586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in TX · R0252✔ Licensed in IN · 01094972A

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

5602 LYONS AVE, Houston, TX 77020

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Other Names 1

Former Name (1)Josepha-pearl Aigbodesi Iluonakhamhe Md

Secondary Practice Location 1

Location 12400 17th StColumbus, IN 47201-5351 · Phone (812) 376-5016

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Community Health Choice and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Josepha Immanuel M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

CVS PHARMACY INC

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