Individual provider Active NPI

Oluwatoyin Oladejo, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1144794108
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP139874 Issued in TX
Practice address
9898 Bissonnet St Ste 200
Houston, TX 77036-8025
Phone
(713) 227-7275
Fax
(346) 250-4317
NPI assigned
Jan 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 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 AP139874 TX Primary

Addresses

Primary practice location

9898 Bissonnet St Ste 200
Houston, TX 77036-8025

Mailing address

9898 Bissonnet St Ste 200
Houston, TX 77036-8025
Phone (713) 227-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CA, MN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200804002744 TX Practitioner - Nurse Practitioner 0143645481 Reassigns benefits to 2 organizations
I20210119002629 AZ Practitioner - Nurse Practitioner 0143645481 Reassigns benefits to 1 organization
I20210924001313 CA Practitioner - Nurse Practitioner 0143645481 Reassigns benefits to 1 organization
I20211117000861 MN Practitioner - Nurse Practitioner 0143645481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Sugar Creek Ctr Blvd
Suite 100
Sugar Land, TX 77478-2211
Phone (713) 227-7275

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jun 23, 2020 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 21, 2024 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Oct 15, 2021 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

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

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

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

9898 Bissonnet St
Ste 200
Houston, TX 77036
Phone (713) 227-7275

3 Sugar Creek Center Blvd
Ste 100
Sugar Land, TX 77478
Phone (713) 227-7275

Organizations & group practices 4

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": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1144794108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368025",
            "telephone_number": "713-227-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368025",
            "telephone_number": "713-227-7275",
            "fax_number": "346-250-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADEJO",
        "first_name": "OLUWATOYIN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.