Adeoluwa Adeyemo, APN

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26NJ01147400 Issued in NJ

Practice address

1517 Durham Rd
Penndel, PA 19047-5707

Phone

(732) 986-1971

NPI assigned

May 20, 2021

Last updated

Mar 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindwell Behavioral HealthGroup PAC ID 4880080266, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Mindwell Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
  • NPI 1750037891
  Medicare reassignment Care Compare group NPD
• Penndel Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Penndel, PA
  • NPI 1710019096
  Medicare reassignment NPD
• Psychiatric and Behavioral Health Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Holly, NJ
  • NPI 1487222709
  Authorized official Same address or phone

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1285209536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1223",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080160823",
            "telephone_number": "732-986-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 DURHAM RD",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190475707",
            "telephone_number": "732-986-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1262 Wood Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190474250",
            "country_code": "US",
            "telephone_number": "855-960-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "ADEOLUWA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "26NJ01147400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Burlington",
            "affiliation": "N",
            "address_1": "4 Hale Rd",
            "city": "Burlington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080163817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah Allen
• Andrea Ashman
• Lamonica Bailey, MS, LPC, NCC
• Francesca Balla
• Shacorie Benjamin

• Psychiatry Physician in Penndel, PA
• Providers in Penndel, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.