Organization Active NPI

Namsam Mental Health LLC

  • Neurology Physician
  • Mansfield, TX
National Provider Identifier
1225980550
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NAMSAM MENTAL HEALTH LLC
Practice address
2806 Augustus Way
Mansfield, TX 76063-4564
Phone
(817) 413-3159
NPI assigned
Feb 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Omolara Madinat Medaiyese, PMHNPNPI 1578421988
Title
Owner
Phone
(817) 413-3159

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2806 Augustus Way
Mansfield, TX 76063-4564

Mailing address

2806 Augustus Way
Mansfield, TX 76063-4564
Phone (817) 413-3159

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": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1225980550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 AUGUSTUS WAY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634564",
            "telephone_number": "817-413-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 AUGUSTUS WAY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634564",
            "telephone_number": "817-413-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMSAM MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "MEDAIYESE",
        "authorized_official_first_name": "OMOLARA",
        "authorized_official_middle_name": "MADINAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-413-3159",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.