Nancy Dessources Adegoke, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

258864106 Issued in NY

Practice address

1430 Broadway RM 304
New York, NY 10018-9226

Phone

(212) 840-8410

NPI assigned

Dec 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral and Neuropsychological Consultants, LLP

  • Clinical Psychologist
  • New York, NY
  • NPI 1205895570
  Medicare reassignment NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  NY

  Medicare reassignment NPD
• BP Immediate Medical Care, PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1205105004

  NJ

  Medicare reassignment
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1902224520
  NPD
• Transformational Healthcare Services

  • Mental Health Counselor
  • Glen Ridge, NJ
  • NPI 1669082756
  NPD
• Behavioral and Neuropsychological Consultants, LLP

  • Clinical Neuropsychologist
  • New York, NY
  • NPI 1730454463
  NPD (past)
• Pharma Holding Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)
• Rockland Medical Group, PLLC

  • Internal Medicine Physician
  • Garnerville, NY
  • NPI 1336172501
  NPD (past)

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1154503191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ARNOLD ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015241",
            "telephone_number": "516-974-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 BROADWAY RM 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100189226",
            "telephone_number": "212-840-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSOURCES ADEGOKE",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-01",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "258864106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Desrochers, PT
• Farrah Desrosiers, LCSW
• Matthew Desrosiers, LCSW
• Shayna Dessau, OTR/L
• Michael Dessel
• Margarette Dessources, DNP
• Martha Nahuesenay Desta, NP
• Ember Nicole Destefani, FNP-BC
• Michael William Destefano, MICHAEL DESTEFANO
• Sylvie Destian, MD

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.