Chrystanya A Adeniji, DNP, PMHNP-BC

Key facts

NPI

1760969562

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

95009539 (CA)

Practice address

514 N California Ave Ste 18
Beaumont, CA 92223-2120

Phone

(951) 769-7733

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

Yes

Organizations & group practices 10

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.

• Inland Psychiatric Medical Group, Inc. Psychiatry Physician · Redlands, CA · NPI 1649217761
  Medicare reassignment Care Compare group NPD CA · PSYCHIATRIC/MENTAL HEALTH
• Living Hope Wellness Group, Inc Psychiatric/Mental Health Nurse Practitioner · Beaumont, CA · NPI 1003479643
  NPD Authorized official PSYCHIATRIC/MENTAL HEALTH
• Inland Psychiatric Medical Group, Inc Psychiatry Physician · Chino, CA · NPI 1770905663
  NPD
• Inland Psychiatric Medical Group, Inc. Psychiatry Physician · Redlands, CA · NPI 1336977990
  NPD PSYCHIATRIC/MENTAL HEALTH
• Inland Psychiatric Medical Group, Inc. Psychiatry Physician · Moreno Valley, CA · NPI 1427104116
  NPD (past)
• Neighborhood Medical Clinic of Riverside Psychiatry Physician · Riverside, CA · NPI 1073663605
  NPD (past)
• Neighborhood Medical Clinic of Riverside Inc Psychiatry Physician · Riverside, CA · NPI 1184782583
  NPD (past)
• Pomona Valley Hospital Medical Center General Acute Care Hospital · Pomona, CA · NPI 1518067586
  NPD (past)
• Redlands Community Hospital General Acute Care Hospital · Redlands, CA · NPI 1043354111
  NPD (past)
• Temecula Valley Hospital Inc General Acute Care Hospital · Temecula, CA · NPI 1679816201
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Psychiatric Medical Group Inc (119 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: chrystanya.adeniji.p1@direct.dogonmentalhealth.nextgenshare.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 9, 2019.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1760969562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 OAK ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736868",
            "telephone_number": "916-844-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N CALIFORNIA AVE STE 18",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232120",
            "telephone_number": "951-769-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4960 Arlington Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92504",
            "country_code": "US",
            "telephone_number": "951-341-8930",
            "fax_number": "951-341-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADENIJI",
        "first_name": "CHRYSTANYA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95009539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE/FURNISHING",
            "identifier": "95009539",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Beaumont, CA · Psychiatric/Mental Health Nurse Practitioner in California