| Soundminds Psychiatry Llc | |
|
792 S Main St Ste 104 Mansfield MA 02048-3137 | |
| (413) 305-2500 | |
| Not Available |
| Full Name | Soundminds Psychiatry Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 792 S Main St Ste 104, Mansfield, Massachusetts |
| Authorized Official Name and Position | Adekemi Psychiatry Shodunke (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 5085797021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soundminds Psychiatry Llc 792 S Main St Ste 104 Mansfield MA 02048-3137 Ph: (508) 579-7021 | Soundminds Psychiatry Llc 792 S Main St Ste 104 Mansfield MA 02048-3137 Ph: (413) 305-2500 |
| NPI Number | 1972339414 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 03/06/2025 |
| Certification Date | 03/06/2025 |
| Medicare PECOS PAC ID | 5991228777 |
|---|---|
| Medicare Enrollment ID | O20250402002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972339414 | NPI | - | NPPES |
| Provider Name | Adekemi Shodunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992376818 PECOS PAC ID: 8224571237 Enrollment ID: I20241030001211 |
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