Individual provider Active NPI

Bayo Olaoye, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1205388337
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11009517 Issued in FL
Practice address
2010 NW 150TH Ave
Ste.120
Pembroke Pines, FL 33028-7583
Phone
(954) 431-9838
Fax
(954) 241-6726
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132378 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11009517 FL Primary

Addresses

Primary practice location

2010 NW 150TH Ave
Ste.120
Pembroke Pines, FL 33028-7583

Mailing address

2010 NW 150TH Ave
Ste.120
Pembroke Pines, FL 33028-7583
Phone (954) 431-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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
I20170313001665 TX Practitioner - Nurse Practitioner 2163500471 Reassigns benefits to 2 organizations
I20210503000086 FL Practitioner - Nurse Practitioner 2163500471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009517FLMDPsychiatric/Mental Health Nurse Practitioner
AP132378TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatric/Mental Health CurrentSince Feb 13, 2017 Accepting new patients
Health and Human Services Commission CurrentSince Nov 1, 2017 Accepting new patients
Therapies 4 Kids, Inc. Psychiatric/Mental Health CurrentSince Mar 1, 2021 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Nov 1, 2017 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Feb 13, 2017 Accepting new patients

Locations

1311 N Palm Ave
Pembroke Pines, FL 33026
Phone (954) 780-6093

2010 NW 150th Ave
Ste 120
Pembroke Pnes, FL 33028
Phone 9544319838114

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

4110 Guadalupe St
Austin, TX 78751
Phone (512) 419-2731

5015 S Interstate 35
Austin, TX 78744
Phone (512) 703-1392

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1205388337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE",
            "address_2": "STE.120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330287583",
            "telephone_number": "954-431-9838",
            "fax_number": "954-241-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE",
            "address_2": "STE.120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330287583",
            "telephone_number": "954-431-9838",
            "fax_number": "954-241-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAOYE",
        "first_name": "BAYO",
        "name_prefix": "Mr.",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132378",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11009517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.