Individual provider Active NPI

Saudat Iyabode Lawal, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1174224315
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027290 Issued in PA
Practice address
524 Fairywood St
Pittsburgh, PA 15205-1921
Phone
(412) 620-8218
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 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 SP027290 PA Primary

Addresses

Primary practice location

524 Fairywood St
Pittsburgh, PA 15205-1921

Mailing address

524 Fairywood St
Pittsburgh, PA 15205-1921
Phone (412) 620-8218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 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
I20231030003413 WV Practitioner - Nurse Practitioner 5092161836 Reassigns benefits to 1 organization
I20231031002592 PA Practitioner - Nurse Practitioner 5092161836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cognitive Medicine Practice PLLCGroup PAC ID 8527242759, 10 clinicians

Practice addresses (Care Compare)

310 American Way
Suite a
Weirton, WV 26062-4083
Phone (304) 797-6518

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Hold Psychiatry CurrentSince Apr 15, 2026 Accepting new patients
Cognitive Medicine Practice PLLC CurrentSince Oct 2, 2023 Accepting new patients
Safe Haven Hospice & Palliative Care Inc. Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 10, 2024 Accepting new patients
Washington Physician Services CurrentSince Dec 23, 2023 Accepting new patients

Locations

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

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Ste 304
Washington, PA 15301
Phone (304) 797-6410

130 Greene Plz
Waynesburg, PA 15370
Phone (304) 797-6410

310 American Way
#A
Weirton, WV 26062
Phone (304) 797-6410

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1174224315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 FAIRYWOOD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051921",
            "telephone_number": "412-620-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 FAIRYWOOD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051921",
            "telephone_number": "412-620-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWAL",
        "first_name": "SAUDAT",
        "middle_name": "IYABODE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.