Olatokunbo Adepoju

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R240738 Issued in MD

Practice address

702 Saint Peters CT
Edgewood, MD 21040-3829

Phone

(443) 850-4376

NPI assigned

Jan 9, 2024

Last updated

Jan 18, 2024By the provider in NPPES

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 MD

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advantage Psychiatric Services LLCGroup PAC ID 2860732039, 11 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkton, MD
  • NPI 1548742554
  Medicare reassignment Care Compare group NPD
• Castle of Grace Mental Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
  • NPI 1396691218
  NPD Authorized official
• Advantage Psychiatric Services LLC

  • Clinic/Center
  • Havre de Grace, MD
  • NPI 1700515236
  NPD
• Advantage Psychiatric Services LLC

  • Community/Behavioral Health Agency
  • Nottingham, MD
  • NPI 1518573427
  NPD (past)
• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
  • NPI 1538732086
  NPD (past)
• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prince Frederick, MD
  • NPI 1740874296
  NPD (past)

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1245000355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SAINT PETERS CT",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403829",
            "telephone_number": "443-850-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SAINT PETERS CT",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403829",
            "telephone_number": "443-850-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEPOJU",
        "first_name": "OLATOKUNBO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R240738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Place for You, LLC
• Abundance of Care
• Acceptance Mental Health Care and Psychiatry, LLC
• Achieving Wellness
• Charlisa Feliesh Addison, ADT TRAINEE
• Affectionate Hands Family Care
• Suzan M Alnabelsi
• Amazing Health Care Services Inc
• Anew Homecare Services LLC
• Angel Home Care, LLC

• Psychiatric/Mental Health Nurse Practitioner in Edgewood, MD
• Providers in Edgewood, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.