Maya Kemi Akinfosile, PSYD
Individual provider Active NPI Clinical Psychologist · Oberlin, OH
NPI 1124628409 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1124628409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- .8006 (OH)
- Practice address
- 140 W. College Street
Dascomb - Suite B
Oberlin, OH 44074 - Phone
- (440) 775-8470
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .8006 | OH | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | .8006 | OH | Yes |
Addresses
Primary practice location
140 W. College Street
Dascomb - Suite B
Oberlin, OH 44074
Mailing address
140 W. College Street
Dascomb - Suite B
Oberlin, OH 44074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| .8006 | Other | OH | OH PSYCHOLOGIST LICENSE # |
Other providers in Oberlin, OH
All providers in Oberlin, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.