Individual provider Active NPI

Adeola Adelayo, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bozeman, MT
National Provider Identifier
1205996907
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
112381 Issued in MT
Practice address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone
(406) 414-5000
NPI assigned
Dec 11, 2006
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 291577 MA
Psychiatry Physician 2084P0800X 036-112180 IL
Psychiatry Physician 2084P0800X MD216304 OR
Psychiatry Physician 2084P0800X 20143 ND
Psychiatry Physician 2084P0800X 01064165A IN
Child & Adolescent Psychiatry Physician 2084P0804X 112381 MT Primary
Child & Adolescent Psychiatry Physician 2084P0804X 01064165A IN

Addresses

Primary practice location

915 Highland Blvd
Bozeman, MT 59715-6902

Mailing address

PO Box 3160
Apache Junction, AZ 85117-4115
Phone (480) 983-0065

Other practice location 1

625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone (480) 983-0065

Other practice location 2

1800 E Interstate Ave
Bismarck, ND 58503-1399
Phone (701) 323-8800

Other practice location 3

340 Thompson Rd
Webster, MA 01570-1509
Phone (508) 949-8812

Other identifiers 2

IdentifierTypeStateIssuer
036-112180OtherILSTATE LICENSE NUMBER
112381OtherMTMONTANA STATE LICENSE

Other names 1

  • Adeola Odulate Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aadelayo429912@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, AZ, MA, WY, OR, WA, MT, ND, CA, MN10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20071002000154 IN Practitioner - Psychiatry 1557322641 Reassigns benefits to 1 organization
I20101013000995 AZ Practitioner - Psychiatry 1557322641 Reassigns benefits to 6 organizations
I20221201001674 MA Practitioner - Psychiatry 1557322641 Reassigns benefits to 3 organizations
I20231009001636 WY Practitioner - Psychiatry 1557322641 Reassigns benefits to 1 organization
I20231117002766 OR Practitioner - Psychiatry 1557322641 Reassigns benefits to 1 organization
I20231117002796 WA Practitioner - Psychiatry 1557322641 Reassigns benefits to 1 organization
I20240208003972 MT Practitioner - Psychiatry 1557322641 Reassigns benefits to 3 organizations
I20250724000661 ND Practitioner - Psychiatry 1557322641 Reassigns benefits to 1 organization
I20250924001783 CA Practitioner - Psychiatry 1557322641 Reassigns benefits to 1 organization
I20260610001654 MN Practitioner - Psychiatry 1557322641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Asana Integrated Medical Group PCGroup PAC ID 0042124778, 24 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

Peoria, AZ 85383
Phone (508) 949-8812

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 524-4000

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (844) 496-9160

300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

414 N 7TH St
Bismarck, ND 58501-4423
Phone (701) 323-6815

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20143NDMDNephrology Physician
036-112180ILMDPsychiatry Physician
112381MTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Feb 1, 2024 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 1, 2014 Accepting new patients
District Medical Group, Inc CurrentSince Jan 29, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 1, 2014 Accepting new patients
District Medical Group, Inc CurrentSince Jan 29, 2024 Accepting new patients
Memorial Hospital Association CurrentSince Sep 23, 2024 Accepting new patients
Franciscan Physician Network Family Medicine CurrentSince Dec 28, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Memorial Hospital Association Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 1, 2023 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 1, 2014 Accepting new patients
Billings Clinic Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Belgrade Clinic PLLP Family Medicine Current Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Jun 9, 2026 Accepting new patients
Teton County Hospital District CurrentSince Sep 21, 2023 Accepting new patients
Baystate Medical Practices, Inc Psychiatry CurrentSince Nov 30, 2022 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Feb 1, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 1, 2023 Accepting new patients
Sanford Bismarck CurrentSince May 10, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 1, 2023 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 1, 2014 Accepting new patients
Umass Memorial Health-Harrington Hospital Inc CurrentSince Dec 16, 2022 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince Oct 3, 2023 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Memorial Hospital Association CurrentSince Sep 23, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Dec 28, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatry Past Accepting new patients
Oak Forest Psychological Service Psychiatry Past Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
Banner Behavioral Health Hospital Past Accepting new patients

Locations (25 of 32)

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

7575 E Earll Dr
Bldg 500
Scottsdale, AZ 85251
Phone (480) 941-7500

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

Interoperability endpoints

  • Direct secure messaging: aadelayo264000@direct.valleywisehealth.org
  • Direct secure messaging: aadelayo429912@direct.franciscanalliance.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/

Organizations & group practices 40

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 40

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1205996907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851174115",
            "telephone_number": "480-983-0065",
            "fax_number": "480-671-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851205501",
            "country_code": "US",
            "telephone_number": "480-983-0065",
            "fax_number": "480-671-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Interstate Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585031399",
            "country_code": "US",
            "telephone_number": "701-323-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "MA",
            "postal_code": "015701509",
            "country_code": "US",
            "telephone_number": "508-949-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADELAYO",
        "first_name": "ADEOLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "291577",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-112180",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD216304",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "20143",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01064165A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MT",
            "license": "112381",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01064165A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036-112180",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE LICENSE",
            "identifier": "112381",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aadelayo429912@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8111 S Emerson Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADEOLA",
            "last_name": "ODULATE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.