Shelmith Mamo, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP126843 Issued in TX

Practice address

2770 Main St Ste 211
Frisco, TX 75033-4439

Phone

(469) 618-5703

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, AZ, OR3 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 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

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.

• Cope Community Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tucson, AZ
  • NPI 1689196420
  Medicare reassignment Care Compare group NPD
• Brilliant Mind Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Frisco, TX
  • NPI 1679923163
  Medicare reassignment Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  TX

  Medicare reassignment NPD
• Cope Community Services, Inc.

  • Case Management Agency
  • Tucson, AZ
  • NPI 1164888558
  NPD
• Cope Community Services, Inc.

  • Professional Counselor
  • Tucson, AZ
  • NPI 1336863695
  NPD
• Cope Community Services, Inc.

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1033509070
  NPD (past)
• Cope Community Services, Inc.

  • Clinic/Center
  • Green Valley, AZ
  • NPI 1730547134
  NPD (past)

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1194122341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST STE 211",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334439",
            "telephone_number": "469-618-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST STE 211",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334439",
            "telephone_number": "469-618-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8050 E Lakeside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857301254",
            "country_code": "US",
            "telephone_number": "520-519-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMO",
        "first_name": "SHELMITH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP126843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092683",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "233336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjeev Kumar Mall, MD
• Luke Malone
• Manal Malshy, LPC
• Theodore Maltezos
• Fabiola Maluenga
• Kshitij Manchanda, MD
• Fabrizio Mancini, DC
• Wahaj Mandavia, BCBA
• Josephine Mandeya, NP
• Jose Fernando Mandujano, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Frisco, TX
• Providers in Frisco, 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 21, 2023; 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.