Maryjane Chinyere Henshaw, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

37173 Issued in TN

Practice address

510 Plaza Dr Ste 170
Folsom, CA 95630-4790

Phone

(916) 351-9400

NPI assigned

Sep 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, TX, AZ, WA, NC5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gracefilled LLC

  • Clinic/Center
  • Gallatin, TN
  • NPI 1043191760

  AZ, NC, TX, WA

  Medicare reassignment NPD Authorized official
• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1508325184
  NPD
• H Soliman Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1710595889

  Psychiatric/Mental Health

  NPD (past)
• Hisham Soliman MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1700199080
  NPD (past)

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1124853320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BAGGINS CT",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370660016",
            "telephone_number": "615-602-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PLAZA DR STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304790",
            "telephone_number": "916-351-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952045334",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264026",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Baggins Ct",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370660016",
            "country_code": "US",
            "telephone_number": "615-602-5375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 13th St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953542444",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1372 N Main St Ste 206-1",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964692",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Jackson St Unit 103",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336195",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928821870",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5441 Aldrin Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933132194",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 4th St Ste 12",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013284",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2386 Fair Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254741",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 4th Ave Ste 200G",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035716",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 W Dorothea Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932777300",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Hartnell Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960021849",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3711 Long Beach Blvd Ste 4045",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073320",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953403718",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E San Joaquin St Ste 203B",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012947",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 W Olive Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922433043",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Park Ave Ste 200-A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263075",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Fletcher Pkwy",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202134",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 W Hospitality Ln # 225201P",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083237",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7177 Brockton Ave Ste 444A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062635",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2062 Talbert Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959287718",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15720 Ventura Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362954",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Hitchcock Way Ste 209",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931055635",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44240 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945386000",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1254 Mission St Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941032706",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7365 Carnelian St Ste 222F",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917301157",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "634 H St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955011053",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 N Oxnard Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930303503",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9381 E Stockton Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956245070",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Cameron Ave Ste 300-129",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902724",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Maidu Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956035864",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Main St Ste 110-K",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145909",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617773",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSHAW",
        "first_name": "MARYJANE",
        "middle_name": "CHINYERE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032951",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193966",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "889034",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1206339",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "323469",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5022418",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039512",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61625478",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "37173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.