Active NPIIndividual provider

Enoch Adomako, NP

Nurse Practitioner, Psych/Mental Health in Mesa, Arizona

NPI Number1205306578
Practice location
358 E Javelina Ave, Mesa, AZ 85210-6205
Fax
—
Last updated
April 22, 2025

Enoch Adomako, NP is a Nurse Practitioner, Psych/Mental Health based in Mesa, AZ. Enoch Adomako, NP holds the professional credentials of NP. The NPI number for Enoch Adomako, NP is 1205306578 and holds license No. 10022016 (OR). The current practice location address is 358 E Javelina Ave, Mesa, AZ 85210-6205 and the office can be reached by phone at 919-491-3769. The NPI was assigned on November 29, 2018 and the record was last updated in NPPES on April 22, 2025.

●Provider Profile Details

NPI Number
1205306578
Provider Name
Enoch Adomako
Credential
NP
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Enumeration Date
November 29, 2018
Last Update Date
April 22, 2025
Certification Date
April 22, 2025
NPI Status
Active

◉Business Practice Location Address

Address
358 E Javelina Ave
Mesa, AZ 85210-6205
City
Mesa
State
Arizona
ZIP
85210-6205
Country
US
Phone Number
919-491-3769

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✉Business Mailing Address

Address
3840 Hulen St
Fort Worth, TX 76107-7277
City
Fort Worth
State
TX
ZIP
76107-7277

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Psych/Mental Health363LP0808XNo10022016OR
Nurse Practitioner, Psych/Mental Health363LP0808XNo234029AZ
Nurse Practitioner, Psych/Mental Health363LP0808XYesAP139158TX

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Enoch Adomako, NP?

The NPI number of Enoch Adomako, NP is 1205306578. It was assigned on November 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Enoch Adomako, NP?

Enoch Adomako, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X) and holds license No. 10022016 (OR).

Where does Enoch Adomako, NP practice?

The practice location is 358 E Javelina Ave, Mesa, AZ 85210-6205. The office can be reached at 919-491-3769 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205306578 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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