Gustavo Adolfo Mathieu Fornet, ARNP, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP138939 Issued in TX

Practice address

7002 Riverbrook Dr Ste 900F
Sugar Land, TX 77479-6531

Phone

(281) 721-4181

Fax

(409) 245-0750

NPI assigned

Feb 2, 2016

Last updated

Jun 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, MN, NY3 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

University of Cincinnati College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sasaki Medical LLCGroup PAC ID 3779879903, 21 clinicians

Psychiatry Matters Ny PCGroup PAC ID 9032656129, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sasaki Medical LLC

  dba Kai Shin Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Roseville, MN
  • NPI 1326490475
  Medicare reassignment Care Compare group NPD
• Psychiatry Matters Ny PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1578300919
  Medicare reassignment Care Compare group
• Insynch Health, PLLC

  • Psychiatry Physician
  • Sugar Land, TX
  • NPI 1154087096

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Sasaki Medical LLC

  dba Kai Shin Reference Lab

  • Clinical Medical Laboratory
  • Saint Paul, MN
  • NPI 1992472757
  NPD
• Insynch Health, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1326954314
  NPD (past)
• Sasaki Medical LLC

  dba Kai Shin Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Saint Paul, MN
  • NPI 1043829625
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1245698471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E OAKLAND PARK BLVD",
            "address_2": "STE 210",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344400",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 RIVERBROOK DR STE 900F",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796531",
            "telephone_number": "281-721-4181",
            "fax_number": "409-245-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Oakland Park Blvd",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333344400",
            "country_code": "US",
            "telephone_number": "954-561-6222",
            "fax_number": "954-990-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIEU FORNET",
        "first_name": "GUSTAVO",
        "middle_name": "ADOLFO",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9345457",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9345457",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202209936NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP138939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016913200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sindhu Mathew, AGACNP
• Susan Mathew, M .D.
• Susan Vijayan Mathew, DO
• Vimala Mathew, RN
• Maia Mathews, M.ED., BCBA, LBA
• Dawnica Mathis-Huff, LCSW
• Vidya Mathivanan, MD
• Hiru Mathur, D.D.S.,M.S.
• Ritesh Anjani Mathur, M.D.
• Shelly Mathur, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, 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 Jun 20, 2025; 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.