Rachel Adebukola O'Dare, NP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4351056818 Issued in MI

Practice address

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014

Phone

(708) 299-2318

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Adebukola Rachel Orisadare Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ms_rodare@landmarkhealth-direct.org

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.

• Beatrix LLC

  • Primary Care Nurse Practitioner
  • Van Buren TWP, MI
  • NPI 1013589910
  Medicare reassignment
• Longevity Clinical LTC Associates of Michigan PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Dearborn Heights, MI
  • NPI 1154992196
  Medicare reassignment
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1073004297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43644 ARBORVIEW LN",
            "city": "VAN BUREN TOWNSHIP",
            "state": "MI",
            "postal_code": "481113347",
            "telephone_number": "708-299-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W GRAND BLVD STE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023014",
            "telephone_number": "708-299-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DARE",
        "first_name": "RACHEL",
        "middle_name": "ADEBUKOLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317648",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704317648",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4351056818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEBUKOLA",
            "last_name": "ORISADARE",
            "middle_name": "RACHEL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean O'Brien, PA-C
• Megan Kerri O'Bryan, DPM
• Theresa Clark O'Bryant, BCTMB, LMT
• Elizabeth O'Connor, LLMSW
• Glenn Patrick O'Connor, CRNA
• Alexander O'Donnell
• Erin O'Donnell, CRNA
• Kyle Patrick O'Hollaren
• Katelynn Adella O'Keefe, PA
• Barbara O'Malley, MD

• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.