Individual provider Active NPI

Oluwatobi David Oloyede

  • Psychiatry Physician
  • Lehighton, PA
National Provider Identifier
1154264083
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MT236164 Issued in PA
Practice address
211 N 12TH St
Lehighton, PA 18235-1138
Phone
(610) 577-0555
Fax
(484) 464-4835
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT236164 PA Primary

Addresses

Primary practice location

211 N 12TH St
Lehighton, PA 18235-1138

Mailing address

211 N 12TH St
Lehighton, PA 18235-1138
Phone (610) 577-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513004265 PA Order and Referring Only - PsychiatryPractitioner - Psychiatry 0446729933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT236164PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1154264083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "610-577-0555",
            "fax_number": "484-464-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "610-577-0555",
            "fax_number": "484-464-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOYEDE",
        "first_name": "OLUWATOBI",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT236164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.