Individual provider Active NPI

Adeola Mustapha, MD

  • Psychiatry Physician
  • Carmel, IN
National Provider Identifier
1093956765
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01096660A Issued in IN
Practice address
550 Congressional Blvd
Carmel, IN 46032-5609
Phone
(833) 351-8255
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 010765 TX
Psychiatry Physician 2084P0800X 340927 NY
Psychiatry Physician 2084P0800X 01096660A IN Primary
Home Health Agency 251E00000X 010765 TX
Psychiatry Physician 2084P0800X 14220629-1205 UT
Psychiatry Physician 2084P0800X TPME8294 FL

Addresses

Primary practice location

550 Congressional Blvd
Carmel, IN 46032-5609

Mailing address

PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255

Other practice location 1

101 N Monroe St Ste 800
Tallahassee, FL 32301-1549
Phone (833) 351-8255

Other practice location 2

10 W Broadway
Salt Lake City, UT 84101-2002
Phone (833) 351-8255

Other practice location 3

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 4

4121 Marvin D Love Fwy Ste 2010
Dallas, TX 75224-4863
Phone (214) 375-0888

Other identifiers 1

IdentifierTypeStateIssuer
001018158MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NY, UT, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20260115002940 IN Practitioner - Psychiatry 1951486984 Reassigns benefits to 1 organization
I20260122001542 NY Practitioner - Psychiatry 1951486984 Reassigns benefits to 1 organization
I20260129001107 UT Practitioner - Psychiatry 1951486984 Reassigns benefits to 1 organization
I20260406001862 FL Practitioner - Psychiatry 1951486984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

10 W Broadway
FL 7
Salt Lake City, UT 84101-2060
Phone (833) 351-8255

101 N Monroe St
Suite 800 Private Office 860
Tallahassee, FL 32301-1570
Phone (833) 351-8255

550 Congressional Blvd
Suite 115
Carmel, IN 46032-5644
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA CurrentSince Oct 13, 2025 Accepting new patients
MCCD Psychiatry Services PLLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108

550 Congressional Blvd
Ste 115
Carmel, IN 46032

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

10 W Broadway
Fl 7
Salt Lake City, UT 84101
Phone (801) 228-7825

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1093956765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24449",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870589",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONGRESSIONAL BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325609",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Monroe St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323011549",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012002",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4121 Marvin D Love Fwy Ste 2010",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752244863",
            "country_code": "US",
            "telephone_number": "214-375-0888",
            "fax_number": "214-375-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTAPHA",
        "first_name": "ADEOLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "010765",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "340927",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01096660A",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010765",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "14220629-1205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TPME8294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018158",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.