Organization Active NPI

Mind-Aid Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Crowley, TX
National Provider Identifier
1902684442
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND-AID BEHAVIORAL HEALTH
Practice address
916 Crowder Dr
Crowley, TX 76036-3657
Phone
(817) 852-5302
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Folashade A Adeleye, NPNPI 1043943202
Title
Ceo
Phone
(817) 852-5302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

916 Crowder Dr
Crowley, TX 76036-3657

Mailing address

916 Crowder Dr
Crowley, TX 76036-3657
Phone (817) 852-5302

Other names 1

  • Mind-Aid Behavioral Health Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114002070 TX Part B Supplier - Clinic/Group Practice 9234586173 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Prairie, TX

National Provider Directory

National Provider Directory

Locations

2304 Oak Ln
Ste 220
Grand Prairie, TX 75051
Phone (817) 385-9359

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1902684442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 CROWDER DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363657",
            "telephone_number": "817-852-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 CROWDER DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363657",
            "telephone_number": "817-852-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-AID BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "ADELEYE",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-852-5302",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind-Aid Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mind-Aid Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Crowley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.