Organization Active NPI

Givinghope Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1205417573
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GIVINGHOPE BEHAVIORAL HEALTH INC
Practice address
539 W Commerce St Ste 4934
Dallas, TX 75208-1953
Phone
(222) 441-1111
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Latifat Folashade Adelekan-AdeogunNPI 1689124125
Title
Psychiatric Nurse Practitioner
Phone
(224) 578-2132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

539 W Commerce St Ste 4934
Dallas, TX 75208-1953

Mailing address

404 E Broad St Ste 600
Mansfield, TX 76063-1743
Phone (319) 600-6693

Other practice location 1

1542 Flammang Dr # 1001
Waterloo, IA 50702-4370
Phone (319) 600-6693

Other practice location 2

404 E Broad St Ste 600
Mansfield, TX 76063-1743
Phone (319) 600-6693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211026002224 TX Part B Supplier - Clinic/Group Practice 6204239882 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1205417573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E BROAD ST STE 600",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631743",
            "telephone_number": "319-600-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST STE 4934",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "222-441-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Flammang Dr # 1001",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507024370",
            "country_code": "US",
            "telephone_number": "319-600-6693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 E Broad St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760631743",
            "country_code": "US",
            "telephone_number": "319-600-6693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIVINGHOPE BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "ADELEKAN-ADEOGUN",
        "authorized_official_first_name": "LATIFAT",
        "authorized_official_middle_name": "FOLASHADE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "224-578-2132"
    },
    "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": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.