Grey Matter Behavioral Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GREY MATTER BEHAVIORAL WELLNESS LLC

Practice address

7916 Brady Rd NW
Albuquerque, NM 87120-1246

Phone

(505) 433-4632

NPI assigned

Dec 25, 2023

Organization subpart

No

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

Authorized official

Name

Toyin Oladeji, PMHNP-BCNPI 1811639750

Title

Executive Director

Phone

(505) 433-4632

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Tax ID family

Grey Matter Behavioral Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grey Matter Behavioral Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1285404095
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Toyin Oladeji, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1811639750

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1720857378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 PALMYRA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144241",
            "telephone_number": "505-433-4632",
            "fax_number": "505-792-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 BRADY RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201246",
            "telephone_number": "505-433-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY MATTER BEHAVIORAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "OLADEJI",
        "authorized_official_first_name": "TOYIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-433-4632",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Cecile Greszler, BCBA
• Mary Beth Greulich, CNM
• Harleen Kaur Grewal, PA-C
• Kapil Grewal, DDS
• Grey Matter Behavioral Wellness LLC
• Denise Grey
• Rima Kristina Griauzde, M.D.
• Brian John Gribble, DDS
• Linda Grice
• Rebecca Louise Grider, LMT

• Psychiatric/Mental Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.