Individual provider Active NPI

Adekitan Olusegun Aderoju, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1962235838
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1169444 Issued in TX
Practice address
2150 S Central Expy Ste 200
McKinney, TX 75070-4000
Phone
(214) 436-0126
NPI assigned
Aug 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X TX
Adult Health Nurse Practitioner 363LA2200X 1169444 TX
Gerontology Nurse Practitioner 363LG0600X 1169444 TX
Pediatric Nurse Practitioner 363LP0200X 1169444 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1169444 TX Primary

Addresses

Primary practice location

2150 S Central Expy Ste 200
McKinney, TX 75070-4000

Mailing address

1222 Elizabeth St
Anna, TX 75409-8223
Phone (469) 215-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250519001828 TX Practitioner - Nurse Practitioner 6406374909 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1169444TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor of Hope Psychiatry PLLC CurrentSince Aug 1, 2025 Accepting new patients
Zeitgeist Expressions Inc Mental Health CurrentSince Mar 16, 2025 Accepting new patients

Locations

2150 S Central Expy
Ste 200
McKinney, TX 75070
Phone (214) 624-9864

5282 Medical Dr
Ste 605
San Antonio, TX 78229
Phone (210) 271-3630

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1962235838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 ELIZABETH ST",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754098223",
            "telephone_number": "469-215-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S CENTRAL EXPY STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704000",
            "telephone_number": "214-436-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEROJU",
        "first_name": "ADEKITAN",
        "middle_name": "OLUSEGUN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-24",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1169444",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1169444",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1169444",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1169444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.