Individual provider Active NPI

Ryan Neal Adams, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Vernon, OH
National Provider Identifier
1164201307
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0041395 Issued in OH
Practice address
206 S Mulberry St
Mount Vernon, OH 43050-3331
Phone
(740) 326-1231
Fax
(740) 326-1175
NPI assigned
Sep 26, 2023
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0041395 OH Primary

Addresses

Primary practice location

206 S Mulberry St
Mount Vernon, OH 43050-3331

Mailing address

206 S Mulberry St Ste a
Mount Vernon, OH 43050-3331
Phone (740) 326-1231

Other practice location 1

9 S Mulberry St
Mount Vernon, OH 43050-3217
Phone (740) 326-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260406000215 OH Practitioner - Nurse Practitioner 5799250023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Behavioral Health, LLCGroup PAC ID 1850800046, 4 clinicians

Practice addresses (Care Compare)

206 S Mulberry St
Suite a
Mount Vernon, OH 43050-3331
Phone (740) 326-1231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0041395OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simona L Moore CNP LLC PastSince Feb 13, 2026 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1164201307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MULBERRY ST STE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503331",
            "telephone_number": "740-326-1231",
            "fax_number": "740-326-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MULBERRY ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503331",
            "telephone_number": "740-326-1231",
            "fax_number": "740-326-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 S Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430503217",
            "country_code": "US",
            "telephone_number": "740-326-1231",
            "fax_number": "740-326-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "RYAN",
        "middle_name": "NEAL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0041395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.