Reformed Mind Health and Treatment LLC
NPI 1205786738 · Psychiatric/Mental Health Nurse Practitioner · Avondale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reformed Mind Health and Treatment LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Avondale, AZ (NPI 1205786738).
Provider details
- NPI number
- 1205786738
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Modupe Adedoja, Owner(480) 901-1202
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-03
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Reformed Mind Health and Treatment LLC's NPI number?
- Reformed Mind Health and Treatment LLC's National Provider Identifier (NPI) is 1205786738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reformed Mind Health and Treatment LLC?
- Reformed Mind Health and Treatment LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Reformed Mind Health and Treatment LLC located?
- Reformed Mind Health and Treatment LLC's practice location on file with NPPES is 12725 W Indian School Rd Ste E101, Avondale, AZ 85392-9525.
- What is Reformed Mind Health and Treatment LLC's phone number?
- The practice phone number listed in the NPPES registry for Reformed Mind Health and Treatment LLC is (480) 901-1202.
- Does Reformed Mind Health and Treatment LLC accept Medicare?
- Reformed Mind Health and Treatment LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Reformed Mind Health and Treatment LLC?
- The authorized official listed on Reformed Mind Health and Treatment LLC's NPPES record is Modupe Adedoja, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reformed Mind Health and Treatment LLC's NPI active?
- Yes — Reformed Mind Health and Treatment LLC's NPI (1205786738) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.