Organization Active NPI

Ever Flourish Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Groton, CT
National Provider Identifier
1013693373
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EVER FLOURISH MENTAL HEALTH
Practice address
1057 Poquonnock Rd # 6
Groton, CT 06340-6630
Phone
(860) 984-4552
Fax
(844) 321-6166
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Oyewole Gbenga OgunnaikeNPI 1497416424
Title
Pmhnp
Phone
(956) 215-6450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1057 Poquonnock Rd # 6
Groton, CT 06340-6630

Mailing address

1057 Poquonnock Rd # 6
Groton, CT 06340-6630
Phone (860) 984-4552

Other practice location 1

640 George Washington Hyw
Building B, Suite 103, Unit 5
Lincoln, RI 02865
Phone (860) 984-4552

Other names 1

  • Oyewole G Ogunnaike Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250603001185 CT Part B Supplier - Clinic/Group Practice 8325557267 Receives reassigned benefits from 1 practitioner
Practice locations: Groton, CT
O20251107002648 RI Part B Supplier - Clinic/Group Practice 8325557267 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, RI

National Provider Directory

National Provider Directory

Locations

1057 Poquonnock Rd
#6
Groton, CT 06340
Phone (860) 984-4552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1013693373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK RD # 6",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406630",
            "telephone_number": "860-984-4552",
            "fax_number": "844-321-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK RD # 6",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406630",
            "telephone_number": "860-984-4552",
            "fax_number": "844-321-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 George Washington Hyw",
            "address_2": "Building B, Suite 103, Unit 5",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "02865",
            "country_code": "US",
            "telephone_number": "860-984-4552",
            "fax_number": "844-321-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVER FLOURISH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "OGUNNAIKE",
        "authorized_official_first_name": "OYEWOLE",
        "authorized_official_middle_name": "GBENGA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "956-215-6450"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oyewole G Ogunnaike",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Oyewole G Ogunnaike",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.