SUPPORTIVE MINDS
NPI 1649820416
Nurse Practitioner - Psychiatric/Mental Health in Richmond, TX

Active since September 13, 2019
23607 ORTENSIA ST, RICHMOND, TX 77406(405) 549-6290 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supportive Minds NPPES

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

SUPPORTIVE MINDS (NPI 1649820416) is a healthcare organization registered as a psychiatric/mental health in Richmond, Texas and active in the NPI registry since September 2019. The organization maintains a secondary practice location in Parma and lists Mafon Fomujang, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1649820416
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUPPORTIVE MINDS
Location Address23607 ORTENSIA STRichmond, TX 77406-1588
Mailing Address23607 Ortensia StRichmond, TX 77406-1588 · (405) 549-6290
Organization SubpartNo
Authorized OfficialMafon FomujangMedical Director · (405) 549-6290
Enumeration DateSeptember 13, 2019
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1649820416 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
23607 ORTENSIA ST, Richmond, TX 77406

Secondary Practice Location 1

Location 11440 Rockside Rd Ste 314Parma, OH 44134-2749 · Phone (405) 549-6290

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

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
23607 ORTENSIA ST
RICHMOND, TX 77406

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 Supportive Minds's NPI number?

The NPI number for Supportive Minds is 1649820416. It was assigned to this organization in the NPPES registry on September 13, 2019.

Where is Supportive Minds located?

Supportive Minds is located at 23607 Ortensia St, Richmond, TX 77406. The listed phone number is (405) 549-6290.

What is Supportive Minds's specialty?

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

What insurance does Supportive Minds accept?

Health plans from CareSource list Supportive Minds 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 Supportive Minds was last updated on April 19, 2023. 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.