Modupeoluwa Mariam Odu-Onikosi

Primary specialty

Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X

License

1026808 Issued in TX

Practice address

1401 Royal Pkwy Ste C
Euless, TX 76040-6725

Phone

(214) 378-5577

Fax

(214) 983-1110

NPI assigned

Dec 27, 2020

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Polished Mind Psychiatry PLLCGroup PAC ID 6709265689, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Polished Mind Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Euless, TX
  • NPI 1811626849
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1689261513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROYAL PKWY STE C",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760406725",
            "telephone_number": "214-378-5577",
            "fax_number": "214-983-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROYAL PKWY STE C",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760406725",
            "telephone_number": "214-378-5577",
            "fax_number": "214-983-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODU-ONIKOSI",
        "first_name": "MODUPEOLUWA",
        "middle_name": "MARIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "880756",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "TX",
            "license": "1026808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nurani
• Nutriture LLC
• NV Medequip LLC
• Asenath Bonareri Nyaberi
• Moncella Burch Obia
• Sally Harim Ok, DDS, MPH
• Caresse Okafor, LPC-A
• Nnenna Irene Okonkwo
• Pius Olisadebe Okonkwo
• Jeannette Marie Olazagasti Lourido, M.D., M.S.

• Clinical Nurse Specialist in Euless, TX
• Providers in Euless, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.