Eminence Psychiatric & Wellness Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMINENCE PSYCHIATRIC & WELLNESS CENTER

Practice address

2100 N Hwy 360
Grand Prairie, TX 75050-1011

Phone

(469) 218-5355

Fax

(469) 914-9063

NPI assigned

Aug 3, 2026

Last updated

Sep 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omowunmi Rachael Ayeni, PMHNPNPI 1396672960

Title

Owner

Phone

(469) 218-5355

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omowunmi Rachael Ayeni

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1396672960
  NPD (past) Authorized official

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1245153618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N STATE HIGHWAY 360",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501011",
            "telephone_number": "469-218-5355",
            "fax_number": "469-914-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N HWY 360",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501011",
            "telephone_number": "469-218-5355",
            "fax_number": "469-914-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE PSYCHIATRIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "OMOWUNMI",
        "authorized_official_middle_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-218-5355",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emer Grand Prairie Physicians, PLLC
• Emer Grand Prairie, LLC (Surepoint Emergency Center Grand Prairie)
• Emergentcare2Go
• Emery C. Huber, O.D., P.a.
• Emex Behavoral Health Clinic
• Empyrean Home Healthcare
• EMS Medical Supplies, Inc.
• Emt Caring Homes
• Jonah Engelmann
• Jeannita Nicole Enobakhare, EDD, LPC ASSOCIATE

• Psychiatric/Mental Health Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, 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 25, 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.