Active NPI
Adekemi Shodunke, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Woonsocket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN04004
- Practice address
- 450 Clinton St
Woonsocket, RI 02895-3207 - Phone
- (508) 579-7021
- Fax
- (774) 372-2064
- NPI assigned
- Jul 2, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN04004 | RI | Primary |
Addresses
Primary practice location
450 Clinton St
Woonsocket, RI 02895-3207
Mailing address
450 Clinton St
Woonsocket, RI 02895-3207
Phone (508) 579-7021
Other practice location 1
800 S Main St Ste 103
Mansfield, MA 02048-3144
Phone (150) 857-9702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
126 Prospect St
Suite 104
Pawtucket, RI 02860-4429
Phone (508) 828-4242
450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100
792 S Main St
Suite 205
Mansfield, MA 02048-3137
Phone (508) 828-4242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Current | Accepting new patients | |
| Soundminds Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Thundermist Health Center | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
792 S Main St
Ste 104
Mansfield, MA 02048
Phone (413) 305-2500
792 S Main St
Ste 205
Mansfield, MA 02048
Phone (508) 828-4242
126 Prospect St
Ste 104
Pawtucket, RI 02860
Phone (401) 728-5450
25 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7310
450 Clinton St
Woonsocket, RI 02895
25 John a Cummings Way
Ste 302
Woonsocket, RI 02895
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBEAA
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield, MA
- NPI 1972339414
RI
-
- Federally Qualified Health Center (FQHC)
- Wakefield, RI
- NPI 1700041001
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
MA, Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1992376818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLINTON ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953207",
"telephone_number": "508-579-7021",
"fax_number": "774-372-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLINTON ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953207",
"telephone_number": "508-579-7021",
"fax_number": "774-372-2064"
}
],
"practiceLocations": [
{
"address_1": "800 S Main St Ste 103",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "MA",
"postal_code": "020483144",
"country_code": "US",
"telephone_number": "150-857-9702",
"fax_number": "774-372-2064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHODUNKE",
"first_name": "ADEKEMI",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN04004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.