NPIMap

Organization Active NPI

Orland Family Institute LLC

  • Psychiatry Physician
  • Orland Park, IL
National Provider Identifier
1154650042
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036103889 Issued in IL
Legal business name
ORLAND FAMILY INSTITUTE LLC
Practice address
15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162
Phone
(708) 364-0580
Fax
(708) 364-0480
NPI assigned
Dec 23, 2009
Last updated
Dec 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. Martins A Adeoye, MDNPI 1962431726
Title
Manager / Ceo
Phone
(708) 364-0580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036103889 IL Primary

Addresses

Primary practice location

15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162

Mailing address

15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162
Phone (708) 364-0580

Other names 1

  • OPTIMAL CENTER FOR BEHAVIORAL AND AESTHETIC MEDICINE Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1154650042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-364-0580",
            "fax_number": "708-364-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-364-0580",
            "fax_number": "708-364-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND FAMILY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "MARTINS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER / CEO",
        "authorized_official_telephone_number": "708-364-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036103889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMAL CENTER FOR BEHAVIORAL AND AESTHETIC MEDICINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.