Active NPI
Raoul Shienji Yousa.
- Psychologist
- Mansfield, TX
National Provider Identifier
1982560868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1207092
- Practice address
- 217 Adventus CT
Mansfield, TX 76063-8553 - Phone
- (817) 495-9133
- Fax
- (000) 000-0000
- NPI assigned
- Jan 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1207092 | TX | Primary |
Addresses
Primary practice location
217 Adventus CT
Mansfield, TX 76063-8553
Mailing address
217 Adventus CT
Mansfield, TX 76063-8553
Phone (817) 495-9133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1207092 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1982560868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 ADVENTUS CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638553",
"telephone_number": "817-495-9133",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 ADVENTUS CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638553",
"telephone_number": "817-495-9133",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSA.",
"first_name": "RAOUL",
"middle_name": "SHIENJI",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "TX",
"license": "1207092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.