Folashade Abebi Sobande-Amon
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mansfield, TX
NPI 1841836624 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1841836624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2019055006 (TX)
- Practice address
- 1205 Manchester Dr
Mansfield, TX 76063-7581 - Phone
- (817) 800-2641
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Intervention Associates Inc.
Practice addresses (Care Compare)
2851 S Ave B
BLDG 4
Yuma, AZ 85364-7726
Phone (928) 376-0026
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210121001943 | AZ | Practitioner - Nurse Practitioner | 2466866041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019055006 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Intervention Associates, Inc. | Current | Accepting new patients | |
| Community Intervention Assciates, Inc | Current |
Accepting new patients | |
| Community Intervention Associates | Current |
Accepting new patients | |
| Community Intervention Associates, Inc. | Past |
Accepting new patients | |
| Community Intervention Associates | Past | Accepting new patients |
Locations
32 Boulevard del Rey David
Nogales, AZ 85621
Phone (520) 281-9189
1516 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-5319
1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357
2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2019055006 | TX | Yes |
Addresses
Primary practice location
1205 Manchester Dr
Mansfield, TX 76063-7581
Mailing address
1205 Manchester Dr
Mansfield, TX 76063-7581
Phone (817) 800-2641
Other providers in Mansfield, TX
- Alyssa Lynea Smylie
- Mary B Snellings
- SNJ LLC
- Soaring Healthcare PLLC
- Soaring Healthcare, PLLC
- Nadeen Lucero Soederbaum
- Soh of Texas Samson Liu PLLC
- Ann Marie Soliman
- Solutions Alternative Healthcare, LLC
- Vera Somado
All providers in Mansfield, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.