Individual provider Active NPI

Mikayla McAdams, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1982229415
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2335380 Issued in MA
Practice address
1822 N Main St Ste 203
Fall River, MA 02720-1350
Phone
(508) 635-1337
Fax
(781) 795-9566
NPI assigned
Jun 10, 2020
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN04186 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2335380 MA Primary
Registered Nurse 163W00000X RN79602 RI
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2335380 MA

Addresses

Primary practice location

1822 N Main St Ste 203
Fall River, MA 02720-1350

Mailing address

691 Fall River Ave
Seekonk, MA 02771-5646
Phone (508) 635-1337

Other practice location 1

197 Warren Ave Ste 202
East Providence, RI 02914-4826
Phone (508) 635-1331

Other practice location 2

830 Chalkstone Ave
Providence, RI 02908-4734
Phone (401) 273-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20241211003114 RI Practitioner - Nurse Practitioner 4284160482 Reassigns benefits to 1 organization
I20241223003340 MA Practitioner - Nurse Practitioner 4284160482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN79602RIMDRegistered Nurse
APRN04186RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations for Wellness, Inc Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

1822 N Main St
Fall River, MA 02720
Phone (508) 635-1337

1822 N Main St
Ste 203
Fall River, MA 02720
Phone (508) 635-1337

691 Fall River Ave
Seekonk, MA 02771
Phone (508) 635-1337

197 Warren Ave
Ste 202
East Providence, RI 02914
Phone (508) 635-1331

Interoperability endpoints

  • Direct secure messaging: foundationsforwellness.mikaylamcadams@160451.advancedmd-direct.com

Organizations & group practices 1

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1982229415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715646",
            "telephone_number": "508-635-1337",
            "fax_number": "781-795-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N MAIN ST STE 203",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201350",
            "telephone_number": "508-635-1337",
            "fax_number": "781-795-9566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Warren Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029144826",
            "country_code": "US",
            "telephone_number": "508-635-1331",
            "fax_number": "781-795-9566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084734",
            "country_code": "US",
            "telephone_number": "401-273-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "MIKAYLA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN04186",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2335380",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN79602",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2335380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.