Organization Active NPI

Seyi Amosu, LLC

  • Counseling Psychologist
  • Decatur, GA
National Provider Identifier
1184210536
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
SEYI AMOSU, LLC
Practice address
235 E Ponce de Leon Ave Ste 220
Decatur, GA 30030-3452
Phone
(678) 799-7576
Fax
(678) 799-7576
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Authorized official

Name
Dr. Oluwaseyi Ololade Amosu, PHDNPI 1427644970
Title
Owner
Phone
(678) 799-7576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X

Addresses

Primary practice location

235 E Ponce de Leon Ave Ste 220
Decatur, GA 30030-3452

Mailing address

235 E Ponce de Leon Ave Ste 220
Decatur, GA 30030-3452
Phone (678) 799-7576

National Provider Directory

National Provider Directory

Locations

235 E Ponce de Leon Ave
Ste 220
Decatur, GA 30030
Phone (678) 799-7576

Practitioners & affiliated clinicians

Practitioners 2

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": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1184210536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE STE 220",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303452",
            "telephone_number": "678-799-7576",
            "fax_number": "678-799-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE STE 220",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303452",
            "telephone_number": "678-799-7576",
            "fax_number": "678-799-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYI AMOSU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "AMOSU",
        "authorized_official_first_name": "OLUWASEYI",
        "authorized_official_middle_name": "OLOLADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-799-7576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.