Individual provider Active NPI

Adedayo Elizabeth Dansu

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1902626716
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024069295 Issued in MA
Practice address
950 N Main St # 204
Randolph, MA 02368-3064
Phone
(617) 203-2009
NPI assigned
Oct 15, 2024
Last updated
Nov 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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 2024069295 MA Primary

Addresses

Primary practice location

950 N Main St # 204
Randolph, MA 02368-3064

Mailing address

950 N Main St Ste 204
Randolph, MA 02368-3064
Phone (617) 203-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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
I20250116002216 MA Practitioner - Nurse Practitioner 4789112814 Reassigns benefits to 1 organization
I20260504006040 CT Practitioner - Nurse Practitioner 4789112814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

175 Addison Rd
FL 1
Windsor, CT 06095-2178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024069295MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Engrace Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
VK New England Management LLC CurrentSince May 1, 2025 Accepting new patients
Oasis Home Healthcare LLC Current Accepting new patients
Health Quality Inc. PastSince May 1, 2025 Accepting new patients

Locations

175 Addison Rd
Fl 1
Windsor, CT 06095
Phone (516) 605-5236

214 Howard St
Framingham, MA 01702
Phone (508) 872-0700

320 Essex St
Lawrence, MA 01840
Phone (978) 620-8017

6 Essex Center Dr
Ste 303
Peabody, MA 01960
Phone (978) 532-1730

950 N Main St
Ste 202
Randolph, MA 02368
Phone (617) 203-2009

Organizations & group practices 4

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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1902626716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST STE 204",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "617-203-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST # 204",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "617-203-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSU",
        "first_name": "ADEDAYO",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2024069295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.