Individual provider Active NPI

Oluwatobi A Ogunbayo, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1245019421
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
080073-23 Issued in NH
Practice address
9 Blodget St
Manchester, NH 03104-3598
Phone
(603) 668-4111
NPI assigned
Sep 26, 2023
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 080073-23 NH Primary

Addresses

Primary practice location

9 Blodget St
Manchester, NH 03104-3598

Mailing address

9 Blodget St
Manchester, NH 03104-3598
Phone (603) 668-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20231025003101 NH Practitioner - Nurse Practitioner 8022464106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care of New Hampshire LLCGroup PAC ID 9133506272, 17 clinicians
The Mental Health Center of Greater ManchesterGroup PAC ID 6709874274, 86 clinicians

Practice addresses (Care Compare)

20 Chester Rd
Derry, NH 03038-1636
Phone (718) 298-4375

401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111

Merit-based Incentive Payment System (MIPS)

Final score
62.76 of 100Reported as group
Quality
60.1
Promoting interoperability
0
Improvement activities
40
Cost
82.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080073-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of New Hampshire LLC CurrentSince Nov 15, 2025 Accepting new patients
The Mental Health Center of Greater Manchester CurrentSince Sep 12, 2023 Accepting new patients

Locations

20 Chester Rd
Derry, NH 03038
Phone (603) 432-3801

2 Wall St
Manchester, NH 03101
Phone 6036684111 ext. 6900

401 Cypress St
Manchester, NH 03103
Phone (603) 206-8586

9 Blodget St
Manchester, NH 03104

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1245019421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BLODGET ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043598",
            "telephone_number": "603-668-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BLODGET ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043598",
            "telephone_number": "603-668-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNBAYO",
        "first_name": "OLUWATOBI",
        "middle_name": "A",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "080073-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9 Blodget St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031043598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.