Organization Active NPI

Coded Healthcare & Behavioral Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolingbrook, IL
National Provider Identifier
1184361024
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CODED HEALTHCARE & BEHAVIORAL SERVICES LLC
Practice address
494 W Boughton Rd Ste 4D
Bolingbrook, IL 60440-1881
Phone
(331) 246-6564
Fax
(630) 358-6841
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Oladunni Boladale, DNP- PMHNP-BCNPI 1639743107
Title
Nurse Practitioner
Phone
(331) 246-6564

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

494 W Boughton Rd Ste 4D
Bolingbrook, IL 60440-1881

Mailing address

494 W Boughton Rd Ste 4D
Bolingbrook, IL 60440-1881
Phone (331) 246-6564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@codedhb.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220909002964 IL Part B Supplier - Clinic/Group Practice 8527443662 Receives reassigned benefits from 1 practitioner
Practice locations: Bolingbrook, IL

National Provider Directory

National Provider Directory

Locations

1212 E Algonquin Rd
Algonquin, IL 60102
Phone (224) 713-0003

494 W Boughton Rd
Ste 4D
Bolingbrook, IL 60440
Phone (331) 246-6564

494 W Boughton Rd
Ste 2B
Bolingbrook, IL 60440
Phone (331) 246-6564

429 N Weber Rd
#409
Romeoville, IL 60446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1184361024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 W BOUGHTON RD STE 4D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401881",
            "telephone_number": "331-246-6564",
            "fax_number": "630-358-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 W BOUGHTON RD STE 4D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401881",
            "telephone_number": "331-246-6564",
            "fax_number": "630-358-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODED HEALTHCARE & BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "BOLADALE",
        "authorized_official_first_name": "OLADUNNI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "331-246-6564",
        "authorized_official_credential": "DNP- PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@codedhb.com",
            "affiliation": "N",
            "endpointDescription": "CSV",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "494 W Boughton Rd Ste 4D",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604401881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.