Active NPI
Olayinka Oyawusi, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202213788NP-PP
- Practice address
- 2175 NW Raleigh St Ste 110
Portland, OR 97210-2392 - Phone
- (800) 465-3203
- NPI assigned
- Jul 6, 2022
- Last updated
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202213788NP-PP | OR | Primary |
Addresses
Primary practice location
2175 NW Raleigh St Ste 110
Portland, OR 97210-2392
Mailing address
2386 Morris Ave Ste 107-109
Union, NJ 07083-5723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202213788NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Medical Center | Current | Accepting new patients | |
| Emet Integrative Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| Clear Thoughts Healthcare LLC | Multi-Specialty | Current | Accepting new patients |
| TBHC Physician Services PC | Multi-Specialty | Current | Accepting new patients |
| Samaritan Medical Center | Multi-Specialty | Current | Accepting new patients |
| Samaritan Medical Center | Current | Accepting new patients | |
| Cornerstone NP in Psychiatry, PLLC | Multi-Specialty | Current | Accepting new patients |
| Amity Healthcare Services | Multi-Specialty | Past | Accepting new patients |
Locations
2386 Morris Ave
Ste 107109
Union, NJ 07083
Phone (718) 314-6350
10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
1441 Broadway
Ste 6026
New York, NY 10018
Phone (718) 200-5446
1575 Washington St
Watertown, NY 13601
Phone (315) 779-5060
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ooyawusi21924@prd.direct.tbh.org
Organizations & group practices 8
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Yonkers, NY
- NPI 1982381877
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
- NPI 1366373177
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Union, NJ
- NPI 1407478498
Multi-Specialty
-
- Rehabilitation Hospital Unit
- Watertown, NY
- NPI 1093722068
-
- Psychiatric Hospital Unit
- Watertown, NY
- NPI 1801902713
-
dba Amity Healthcare Services, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Union, NJ
- NPI 1275083305
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1215660337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2386 MORRIS AVE STE 107-109",
"city": "UNION",
"state": "NJ",
"postal_code": "070835723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 NW RALEIGH ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102392",
"telephone_number": "800-465-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYAWUSI",
"first_name": "OLAYINKA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202213788NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.