Individual provider Active NPI

Serah Wangu Mayodi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1437009123
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1108566 Issued in TX
Practice address
6150 Eldorado Pkwy Ste 190
McKinney, TX 75070-5722
Phone
(469) 224-1075
Fax
(469) 640-2091
NPI assigned
Feb 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1108566 TX Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X L8-0011051 DE
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN11045483 FL
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X 101.0138879 VT

Addresses

Primary practice location

6150 Eldorado Pkwy Ste 190
McKinney, TX 75070-5722

Mailing address

6150 Eldorado Pkwy Ste 190
McKinney, TX 75070-5722

Other identifiers 4

IdentifierTypeStateIssuer
1108566OtherTXLICENSE
APRN11045483OtherFLLICENSE
101.0138879OtherVTLICENSE
L8-0011051OtherDELICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260416003131 TX Practitioner - Nurse Practitioner 4082180138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4801 Medical Ctr Dr
McKinney, TX 75069

6150 Eldorado Pkwy
Suite 190
McKinney, TX 75070-5722

904 Royal Oaks Dr
McKinney, TX 75072-8350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0011051DEMDPsychiatric/Mental Health Clinical Nurse Specialist
APRN11045483FLMDPsychiatric/Mental Health Clinical Nurse Specialist
1108566TXMDPsychiatric/Mental Health Clinical Nurse Specialist
101.0138879VTMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Horizons Psychiatry Services PLLC Single Specialty Current Accepting new patients

Locations

6150 Eldorado Pkwy
Ste 190
McKinney, TX 75070
Phone (469) 224-1075

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1437009123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 ELDORADO PKWY STE 190",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 ELDORADO PKWY STE 190",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705722",
            "telephone_number": "469-224-1075",
            "fax_number": "469-640-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYODI",
        "first_name": "SERAH",
        "middle_name": "WANGU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1108566",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0011051",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11045483",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0138879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1108566",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN11045483",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "101.0138879",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L8-0011051",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.