Individual provider Active NPI

Adekemi Shodunke, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1992376818
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN04004 Issued in RI
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

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20240619000139 RI Practitioner - Nurse Practitioner 8224571237 Reassigns benefits to 2 organizations
I20241030001211 MA Practitioner - Nurse Practitioner 8224571237 Reassigns benefits to 2 organizations

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
Soundminds Psychiatry LLCGroup PAC ID 5991228777, 2 clinicians
Thundermist Health CenterGroup PAC ID 1557270477, 161 clinicians

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

OrganizationSpecialtyStatusNew patients
Thundermist Health Center CurrentSince May 12, 2024 Accepting new patients
Soundminds Psychiatry LLC Psychiatric/Mental Health CurrentSince Oct 29, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 25, 2024 Accepting new patients
Thundermist Health Center CurrentSince May 12, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.