Individual provider Active NPI

Falashade F Adewuyi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pawtucket, RI
National Provider Identifier
1871963678
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN275164 Issued in MA
Practice address
126 Prospect St Ste 105
Pawtucket, RI 02860-4429
Phone
(401) 405-1300
Fax
(401) 633-6416
NPI assigned
Oct 6, 2015
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN275164 MA Primary

Addresses

Primary practice location

126 Prospect St Ste 105
Pawtucket, RI 02860-4429

Mailing address

638 Manton Ave
Providence, RI 02909-5612
Phone (401) 405-1300

Other practice location 1

500 N Main St Ste C10
Randolph, MA 02368-6700
Phone (401) 405-1300

Other practice location 2

3180 Whitney Avenue
Unit 6
Hamden, CT 06518
Phone (401) 405-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151209001162 MA Practitioner - Nurse Practitioner 8224339668 Practice locations: Randolph, MA; Dorchester, MA
I20210610003243 RI Practitioner - Nurse Practitioner 8224339668 Practice locations: Providence, RI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

39 E Ave
Pawtucket, RI 02860-4003
Phone (401) 312-9813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN275164MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Psychiatry, PLLC Psychiatric/Mental Health Past Accepting new patients
Advanced Psych Services, LLC PastSince May 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: falashade.adewuyi.p1@direct.bvchc.nextgenshare.com
  • Direct secure messaging: test.testing.p1@direct.bvchc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1871963678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 MANTON AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095612",
            "telephone_number": "401-405-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 105",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604429",
            "telephone_number": "401-405-1300",
            "fax_number": "401-633-6416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Main St Ste C10",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023686700",
            "country_code": "US",
            "telephone_number": "401-405-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 Whitney Avenue",
            "address_2": "Unit 6",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "06518",
            "country_code": "US",
            "telephone_number": "401-405-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEWUYI",
        "first_name": "FALASHADE",
        "middle_name": "F",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN275164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.