Active NPI
Maria Adah
- Psychiatric/Mental Health Nurse Practitioner
- Moberly, MO
National Provider Identifier
1265367262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2026014781
- Practice address
- 1513 Union Ave Ste 2500
Moberly, MO 65270-9412 - Phone
- (660) 372-1313
- Fax
- (660) 372-1339
- NPI assigned
- Jun 12, 2026
- Last updated
- Jun 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2026014781 | MO | Primary |
Addresses
Primary practice location
1513 Union Ave Ste 2500
Moberly, MO 65270-9412
Mailing address
4415 Maxwell LN
Columbia, MO 65203-6569
Phone (573) 239-0660
Other practice location 1
4415 Maxwell Ln
Columbia, MO 65203-6569
Phone (573) 239-0660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026014781 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel O Fadare, MD, PA | Psychiatric/Mental Health | Past | Accepting new patients |
| Oak Hills Behavioral Health Solutions | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counselor
- Moberly, MO
- NPI 1710544416
-
dba Samuel O Fadare, MD, PC
- Adult Mental Health Clinic/Center
- Gladstone, MO
- NPI 1639287824
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1265367262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 MAXWELL LN",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036569",
"telephone_number": "573-239-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 UNION AVE STE 2500",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652709412",
"telephone_number": "660-372-1313",
"fax_number": "660-372-1339"
}
],
"practiceLocations": [
{
"address_1": "4415 Maxwell Ln",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652036569",
"country_code": "US",
"telephone_number": "573-239-0660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAH",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2026014781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.