Individual provider Active NPI

Taiwo Sowunmi

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1013626829
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7101328A Issued in IN
Practice address
Options Behavioral Health Services
5602 Caito Drive
Indianapolis, IN 46226-4622
Phone
(317) 300-4807
NPI assigned
Nov 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7101328A IN Primary

Addresses

Primary practice location

Options Behavioral Health Services
5602 Caito Drive
Indianapolis, IN 46226-4622

Mailing address

10293 Kings Gap Way
Indianapolis, IN 46234-9832
Phone (317) 258-7119

Other practice location 1

A &G Behavioral Health Services
10255 Commerce Drive
Carmel, IN 46032
Phone (317) 281-6586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117000330 IN Practitioner - Nurse Practitioner 6901072263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinthala, PCGroup PAC ID 5294813168, 2 clinicians

Practice addresses (Care Compare)

3557 Corsham Cir
Carmel, IN 46032-8211
Phone (317) 281-6586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101328AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 8, 2024 Accepting new patients
Chinthala, PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5602 Caito Dr
Indianapolis, IN 46226
Phone (314) 324-8802

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1013626829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10293 KINGS GAP WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349832",
            "telephone_number": "317-258-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OPTIONS BEHAVIORAL HEALTH SERVICES",
            "address_2": "5602 CAITO DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264622",
            "telephone_number": "317-300-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "A &G Behavioral Health Services",
            "address_2": "10255 Commerce Drive",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "46032",
            "country_code": "US",
            "telephone_number": "317-281-6586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOWUNMI",
        "first_name": "TAIWO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "7101328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.