Individual provider Active NPI

Oluwatosin Adebiyi, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1144717307
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP137066 Issued in TX
Practice address
100 Glenborough Dr Ste 403
Houston, TX 77067-3600
Phone
(888) 575-8046
NPI assigned
Apr 13, 2018
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 AP137066 TX Primary

Addresses

Primary practice location

100 Glenborough Dr Ste 403
Houston, TX 77067-3600

Mailing address

100 Glenborough Dr Ste 403
Houston, TX 77067-3600
Phone (888) 575-8046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180514002291 TX Practitioner - Nurse Practitioner 8527322882 Reassigns benefits to 2 organizations
I20250626000266 IA Practitioner - Nurse Practitioner 8527322882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Glenborough Dr
Suite 403
Houston, TX 77067-3600
Phone (888) 575-8046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137066TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 10, 2024 Accepting new patients
Mind Connection Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Dec 6, 2019 Accepting new patients

Locations

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

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

100 Glenborough Dr
Ste 403
Houston, TX 77067
Phone (888) 575-8046

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1144717307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENBOROUGH DR STE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673600",
            "telephone_number": "888-575-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENBOROUGH DR STE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673600",
            "telephone_number": "888-575-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBIYI",
        "first_name": "OLUWATOSIN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP137066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.