Individual provider Active NPI

Dammy Sanou-Adekanmbi

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Darby, PA
National Provider Identifier
1689440547
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029386 Issued in PA
Practice address
7101 Sellers Ave
Upper Darby, PA 19082-2023
Phone
(610) 621-5855
Fax
(610) 472-8395
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 SP029386 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010537 DE

Addresses

Primary practice location

7101 Sellers Ave
Upper Darby, PA 19082-2023

Mailing address

7101 Sellers Ave
Upper Darby, PA 19082-2023
Phone (610) 621-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250131002677 PA Practitioner - Nurse Practitioner 3274062492 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010537DEMDPsychiatric/Mental Health Nurse Practitioner
SP029386PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reheal Mental Health and Addiction Services Psychiatric/Mental Health CurrentSince Mar 10, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 9, 2025 Accepting new patients

Locations

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

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1689440547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 SELLERS AVE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822023",
            "telephone_number": "610-621-5855",
            "fax_number": "610-472-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 SELLERS AVE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822023",
            "telephone_number": "610-621-5855",
            "fax_number": "610-472-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANOU-ADEKANMBI",
        "first_name": "DAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029386",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.