Active NPI
Mojisola Adedoyin Ayorinde, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209027094
- Practice address
- 2450 Ridge Ave
Aurora, IL 60504-6038 - Phone
- (815) 814-4293
- NPI assigned
- Mar 27, 2023
- Last updated
- Apr 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.464335 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209027094 | IL | Primary |
Addresses
Primary practice location
2450 Ridge Ave
Aurora, IL 60504-6038
Mailing address
2450 Ridge Ave
Aurora, IL 60504-6038
Phone (815) 814-4293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1601 N University Dr
Rockford, IL 61107-5317
Phone (815) 387-2500
2302 Moreland Blvd
Champaign, IL 61822-1398
Phone (815) 391-1000
2704 N Main St
Rockford, IL 61103-3112
Phone (815) 332-8003
801 N Walnut St
Champaign, IL 61820-3055
Phone (217) 373-2430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.464335 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Bethmia Foundation | Psychiatric/Mental Health | Current | Accepting new patients |
| Rosecrance Inc | Current | Accepting new patients | |
| Mathers Recovery LLC | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Mathers Recovery LLC | Current | Accepting new patients |
Locations
332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654
420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999
17516 E Carriageway Dr
Ste B
Hazel Crest, IL 60429
Phone (630) 849-8787
1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600
1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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IL, Psychiatric/Mental Health
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IL
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- NPI 1366254286
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- Methadone Clinic
- Elgin, IL
- NPI 1639614175
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- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champaign, IL
- NPI 1629426002
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dba Rosecrance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680912000000",
"number": "1013611987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIDGE AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605046038",
"telephone_number": "815-814-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIDGE AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605046038",
"telephone_number": "815-814-4293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYORINDE",
"first_name": "MOJISOLA",
"middle_name": "ADEDOYIN",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2023-04-08",
"certification_date": "2023-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.464335",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209027094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.