NSD MENTAL HEALTH SERVICES LLC (NPI# 1245849231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245849231 |
| Entity Type | Organization |
| Organization Name | NSD MENTAL HEALTH SERVICES LLC |
| Practice Address |
1846 E Innovation Park Dr Oro Valley AZ 85755-1963 |
| Mailing Address |
20634 Ricewood Village Trl Katy TX 77449-4882 |
| Practice Telephone | 8882605687 |
| Mailing Telephone | 9174992254 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | DR. FUNMILOLA O ADELOKIKI (PMHNP) |
| Authorized Official Telephone | 9174992254 |
| Authorized Official Credential | DNP, APRN, PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NSD MENTAL HEALTH SERVICES LLC | 170 S Lincoln St Ste 150, Spokane, WA 99201-4443 |
| Iowa Business Entities | NSD MENTAL HEALTH SERVICES LLC | 20634 Ricewood Village Trl, Katy, TX 77449 |
| Street Address |
1846 E INNOVATION PARK DR |
| City | ORO VALLEY |
| State | AZ |
| Zip Code | 85755-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531089 | Christopher James Mills | Psychologist | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2005-07-14 |
| 1336746692 | Elderhealth Pllc | Nurse Practitioner | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-10-08 |
| 1902410715 | Brain and Body Connections, Pllc | Nurse Practitioner | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-08-31 |
| 1811512387 | Wilson, Leigh & Associates LLC | Nurse Practitioner | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-06-10 |
| 1992266225 | Go Doc, LLC | Counselor | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2019-03-28 |
| 1710442447 | Casey Wilki | Specialist/Technologist | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2019-02-06 |
| 1013366657 | Jonathan Ash | Specialist/Technologist, Other | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2016-06-04 |
| 1487012118 | Jill Walsh | Developmental Therapist | 1846 E Innovation Park Dr, Ste 100, Oro Valley, AZ 85755-1963 | 2016-02-09 |
| 1093184236 | Ashly Rath | Developmental Therapist | 1846 E Innovation Park Dr, St 100, Oro Valley, AZ 85755-1963 | 2015-09-17 |
| 1962888198 | Amanda J Partida | Technician, Other | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
| 1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
| 1033442967 | Terri Farmer PC | Nurse Practitioner | 12450 N. Rancho Vistoso Blvd, Suite 100, Oro Valley, AZ 85755 | 2009-09-10 |
| 1902036338 | David Lee Chaffee Jr. | Dentist | 1880 E Tangerine Rd, Suite 190, Oro Valley, AZ 85755 | 2009-07-20 |
| 1043459738 | Tangerine Dental Group, LLP | Dentist | 1880 East Tangerine Road, Suite 190, Oro Valley, AZ 85755 | 2009-02-19 |
| 1982819736 | Kirsten Pennartz | Physical Therapist | 12460 N Rancho Vistoso Blvd, 140, Oro Valley, AZ 85755 | 2007-05-14 |
| 1346453339 | Michael William Lang | Dentist | 1171 E. Rancho Vistoso Blvd, Suite 157, Oro Valley, AZ 85755 | 2007-05-07 |
| 1871629758 | Phyllis Huttenhoff Menard | Marriage & Family Therapist | 2274 E Montrose Cyn Dr, Tucson, AZ 85755 | 2007-02-26 |
| 1639236581 | Athlon Physical Therapy, LLC | Physical Therapist | 12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 | 2007-01-02 |
| Find all providers in zip 85755 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881817690 | Terri Jean Farmer | Nurse Practitioner | 12450 N Rancho Vistoso Blvd, Oro Valley, AZ 85755-9548 | 2007-04-10 |
| 1902410715 | Brain and Body Connections, Pllc | Nurse Practitioner | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-08-31 |
| 1811512387 | Wilson, Leigh & Associates LLC | Nurse Practitioner | 1846 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2020-06-10 |
| 1366065104 | Stacey Ann Poole | Nurse Practitioner | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2020-05-27 |
| 1164041406 | Daily Hope Healthcare Services LLC | Nurse Practitioner | 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755-1963 | 2020-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | ORO VALLEY |
| Zip Code | 85755 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.