Active NPIIndividual providerSole proprietor

Mr. Adam O Shuaib, DNP, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Bedford, Massachusetts

NPI Number1548969454
Practice location
200 Springs RD, Bedford, MA 01730-1114
Fax
—
Last updated
June 9, 2023

Adam Omotoso Shuaib is a Nurse Practitioner, Psych/Mental Health based in Bedford, MA. Adam Omotoso Shuaib practices in Bedford, MA and has the professional credentials of DNP, PMHNP-BC. The NPI Number for Adam Omotoso Shuaib is 1548969454 and holds a License No. r210702 (MD). The current practice location address for Adam Omotoso Shuaib is 200 Springs RD, Bedford, MA 01730-1114 and can be reached out via phone at 781-687-2000.

Provider Profile Details

NPI Number
1548969454
Provider Name
Adam Omotoso Shuaib
Credential
DNP, PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
200 Springs RD, Bedford, MA 01730-1114
Phone Number
781-687-2000
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2023
Last Update Date
June 9, 2023
Certification Date
June 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Springs RD
Bedford, MA 01730-1114
Zip
01730-1114
Phone Number
781-687-2000
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
200 Springs RD
Bedford, MA 01730-1114
City
Bedford
State
MA
Zip
01730-1114
Phone Number
781-687-2000

License Information

License Number (1)
r210702
License State (1)
MD
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
RN2380369
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Psych/Mental Health providers near Bedford, MA

View all Nurse Practitioner, Psych/Mental Health providers in Bedford →

Frequently Asked Questions

What is the NPI number of Mr. Adam O Shuaib, DNP, PMHNP-BC?

The NPI number of Mr. Adam O Shuaib, DNP, PMHNP-BC is 1548969454. It was assigned on February 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Adam O Shuaib, DNP, PMHNP-BC?

Mr. Adam O Shuaib, DNP, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MD under license number r210702.

Where does Mr. Adam O Shuaib, DNP, PMHNP-BC practice?

The practice location is 200 Springs RD, Bedford, MA 01730-1114. The office can be reached at 781-687-2000 (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 1548969454 directly on the NPPES registry website.

Browse related providers