Mosunmoluwa Adesanya, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

239375 Issued in AZ

Practice address

824 N 99TH Ave
Avondale, AZ 85323-5324

Phone

(623) 643-9678

NPI assigned

May 11, 2020

Last updated

Oct 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mosunmoluwa.sokoyabht.p1@direct.cbridges.nextgenshare.com

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.

• Community Bridges, Inc.

  dba CBI - Encompass Page Integrated Health Home

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  Medicare reassignment Care Compare group NPD
• Community Bridges, Inc

  dba Lighthouse

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
  • NPI 1861722175
  NPD
• Community Bridges, Inc.

  dba Benson Transition Point

  • Mental Illness Community Based Residential Treatment Facility
  • Benson, AZ
  • NPI 1255900189
  NPD
• Community Bridges, Inc.

  dba Toole Outpatient Service Center

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1427596196
  NPD
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center - Outpatient

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD
• Community Bridges, Inc.

  dba Arizona Bridge to Recovery

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
  • NPI 1356461727
  NPD (past)
• Community Bridges, Inc.

  dba Community Bridges, Inc. Yuma Inpatient and Crisis

  • Substance Abuse Rehabilitation Facility
  • Yuma, AZ
  • NPI 1487344735
  NPD (past)
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1508124488
  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1205458429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 99TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235324",
            "telephone_number": "623-643-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 99TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235324",
            "telephone_number": "623-643-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESANYA",
        "first_name": "MOSUNMOLUWA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "239375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Acuff, D.D.S.
• Adam J. Lee, PC (Vision Wellness)
• Sally Adams
• Charmon K Addy
• Adelante Healthcare, Inc (Adelante Healthcare Avondale)
• Adore Me Home Care Agency
• Afc of Avondale, PLLC
• Afc of Avondale, PLLC
• Affordable Dentures & Implants - Avondale II, P.C.
• Affordable Dentures & Implants - Avondale III, P.C.

• Psychiatric/Mental Health Nurse Practitioner in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.