Individual provider Active NPI

Mary Adeoye, RN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1356022768
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1114748 Issued in TX
Practice address
7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone
(832) 869-4818
Fax
(832) 241-2902
NPI assigned
Jul 27, 2023
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1114748 TX Primary
Registered Nurse 163W00000X 932832 TX

Addresses

Primary practice location

7877 Willow Chase Blvd
Houston, TX 77070-5934

Mailing address

4814 Kale Garden CT
Katy, TX 77449-5374
Phone (832) 248-4218

Other practice location 1

902 Frostwood Dr Ste 201
Houston, TX 77024-2402
Phone (832) 869-4818

Other practice location 2

2231 Winged Foot Dr
Missouri City, TX 77459-3629
Phone (346) 635-0147

Other practice location 3

23838 Highway 59 N
Kingwood, TX 77339-1531
Phone (832) 869-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231208000374 TX Practitioner - Nurse Practitioner 1557710191 Reassigns benefits to 3 organizations
I20250114003337 NM Practitioner - Nurse Practitioner 1557710191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

9310 Coors Blvd NW
Albuquerque, NM 87114-4006
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
932832TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Nov 30, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 16, 2024 Accepting new patients
Amareiss Mental Healthcare Group, LLC Psychiatric/Mental Health Current Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5000 Cutler Ave NE
Ste A
Albuquerque, NM 87110
Phone (505) 227-7434

9310 Coors Blvd NW
Albuquerque, NM 87114
Phone (505) 431-1900

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8241

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1356022768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 KALE GARDEN CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495374",
            "telephone_number": "832-248-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 WILLOW CHASE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705934",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Frostwood Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242402",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 Winged Foot Dr",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774593629",
            "country_code": "US",
            "telephone_number": "346-635-0147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23838 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773391531",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEOYE",
        "first_name": "MARY",
        "credential": "RN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1114748",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "932832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.