Organization Active NPI

Citadel Behavioral Health Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1992264402
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CITADEL BEHAVIORAL HEALTH SERVICES INC
Practice address
1301 Northwest Hwy Ste 206
Garland, TX 75041-5896
Phone
(469) 434-1145
Fax
(463) 533-1769
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Adejumoke Dorcas Onadeko, NPNPI 1598215535
Title
Ceo
Phone
(469) 835-7543

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

1301 Northwest Hwy Ste 206
Garland, TX 75041-5896

Mailing address

3802 Citadel Dr
Garland, TX 75040-1081
Phone (469) 835-7543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190506001990 TX Part B Supplier - Clinic/Group Practice 9537401849 Receives reassigned benefits from 1 practitioner
Practice locations: Terrell, TX; Rowlett, TX; Garland, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

1301 Northwest Hwy
Ste 206
Garland, TX 75041
Phone (214) 345-7786

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": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1992264402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CITADEL DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401081",
            "telephone_number": "469-835-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 NORTHWEST HWY STE 206",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415896",
            "telephone_number": "469-434-1145",
            "fax_number": "463-533-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "ONADEKO",
        "authorized_official_first_name": "ADEJUMOKE",
        "authorized_official_middle_name": "DORCAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-835-7543",
        "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": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.