Mulikat Moyosore Otepola, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00828400 Issued in NJ

Practice address

22 Court St
Freehold, NJ 07728-1700

Phone

(732) 780-7387

NPI assigned

Jun 15, 2018

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 NJ

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Diamond Valley Behavioral LLCGroup PAC ID 2466831615, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• CPC Integrated Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bank, NJ
  • NPI 1366497356
  Medicare reassignment Care Compare group NPD
• Diamond Valley Behavioral LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Burlington City, NJ
  • NPI 1497480081
  Medicare reassignment Care Compare group NPD
• Uhs of Hampton, Inc

  • Psychiatry Physician
  • Westampton, NJ
  • NPI 1285822858
  Medicare reassignment NPD
• CPC Behavioral Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matawan, NJ
  • NPI 1912036120
  NPD
• Uhs of Hampton Inc

  • Family Medicine Physician
  • Westampton, NJ
  • NPI 1851843049
  NPD
• Diamond Valley Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Burlington, NJ
  • NPI 1073241576
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1194219907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHELSEA AVE APT 1-208",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408109",
            "telephone_number": "404-441-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COURT ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281700",
            "telephone_number": "732-780-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEPOLA",
        "first_name": "MULIKAT",
        "middle_name": "MOYOSORE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00828400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthonj LLC
• Orthopaedic Institute of Central Jersey
• Amanda Joy Ortiz, PMHNP
• Anita Marie Osmundson, D.O.
• Liya Ostrow, DMD
• Avery Ouellette
• P.a.L.M.S. Providing Alternative Lines of Movement Services LLC
• Susan Pacana, MD
• Matthew J Pagano, MD
• Julia Palace

• Psychiatric/Mental Health Nurse Practitioner in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.