Maame S Obiri-Boateng, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1058248 Issued in TX

Practice address

4358 Lockhill Selma Rd Ste 307
Shavano Park, TX 78249-4167

Phone

(210) 446-4451

NPI assigned

Oct 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Green Pastures Mental Care PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shavano Park, TX
  • NPI 1518679141

  Single Specialty

  NPD
• Medvon Medical Clinic Professional Corporation

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1407513443

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1598428682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 LOCKHILL SELMA RD STE 307",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782494167",
            "telephone_number": "210-446-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 LOCKHILL SELMA RD STE 307",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782494167",
            "telephone_number": "210-446-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIRI-BOATENG",
        "first_name": "MAAME S",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1058248",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "869655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette Angelica Nienstedt
• Northrup Family Counseling, Inc
• George R Northrup, PH.D.
• Kelly Lynn Nunemaker, APRN
• O'Cana Life Works, LLC
• Guillermo Arturo Olivarez, RN
• Amy Michelle Olvera, ACAGNP
• Oordt Therapeutic Services, Inc
• Other Side of Treatment, PLLC
• Stacy Phillippe Rauch, CPC

• Psychiatric/Mental Health Nurse Practitioner in Shavano Park, TX
• Providers in Shavano Park, 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 Jul 12, 2024; 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.