Peniel Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PENIEL PSYCHIATRY PLLC

Practice address

816 Violet Way
Celina, TX 75009-1760

Phone

(682) 521-3198

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Miss Kehinde Temilola AdedayoNPI 1285244350

Title

Owner

Phone

(682) 521-3198

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kehinde Temilola Adedayo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
  • NPI 1285244350
  NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1154109338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 VIOLET WAY",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 VIOLET WAY",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091760",
            "telephone_number": "682-521-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENIEL PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "ADEDAYO",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_middle_name": "TEMILOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-521-3198",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Celina, TX
• Providers in Celina, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.