REHOBOTH MENTAL HEALTH AND PSYCHIATRY PLLC
NPI 1053156331
Nurse Practitioner - Psychiatric/Mental Health in Mansfield, TX

Active since June 27, 2024
1475 HERITAGE PKWY STE 209, MANSFIELD, TX 76063(817) 523-8812(817) 241-1947 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Sep 11, 2025, Sep 4, 2025 and 3 more (6 updates tracked since 2024).

About Rehoboth Mental Health And Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REHOBOTH MENTAL HEALTH AND PSYCHIATRY PLLC (NPI 1053156331) is a healthcare organization registered as a psychiatric/mental health in Mansfield, Texas and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Austin and lists Omotayo Gbengaojo, Owner/authorised Official, as its authorized official.

NPPES Registry Identity

NPI1053156331
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREHOBOTH MENTAL HEALTH AND PSYCHIATRY PLLC
Location Address1475 HERITAGE PKWY STE 209Mansfield, TX 76063-2740
Mailing Address1475 Heritage Pkwy Ste 209Mansfield, TX 76063-2740 · (817) 523-8812
Fax(817) 241-1947
Organization SubpartNo
Authorized OfficialOmotayo GbengaojoOwner/authorised Official · (817) 523-8812
Enumeration DateJune 27, 2024
Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1053156331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1475 HERITAGE PKWY STE 209, Mansfield, TX 76063

Secondary Practice Location 1

Location 15900 Balcones DrAustin, TX 78731-4257 · Phone (817) 523-8812 ext. 38812

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1475 HERITAGE PKWY STE 209
MANSFIELD, TX 76063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rehoboth Mental Health And Psychiatry PLLC's NPI number?

The NPI number for Rehoboth Mental Health And Psychiatry PLLC is 1053156331. It was assigned to this organization in the NPPES registry on June 27, 2024.

Where is Rehoboth Mental Health And Psychiatry PLLC located?

Rehoboth Mental Health And Psychiatry PLLC is located at 1475 Heritage Pkwy Ste 209, Mansfield, TX 76063. The listed phone number is (817) 523-8812.

What is Rehoboth Mental Health And Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Rehoboth Mental Health And Psychiatry PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Rehoboth Mental Health And Psychiatry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rehoboth Mental Health And Psychiatry PLLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.