Individual provider Active NPI

Oladapo Richard Osuntokun, M.D.

  • Child & Adolescent Psychiatry Physician
  • Scranton, PA
National Provider Identifier
1285667840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD427475 Issued in PA
Practice address
1615 E Elm St
Scranton, PA 18505-3925
Phone
(570) 342-8305
Fax
(570) 344-1178
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD427475 PA Primary

Addresses

Primary practice location

1615 E Elm St
Scranton, PA 18505-3925

Mailing address

510 Skyline Dr S
Clarks Summit, PA 18411-9146
Phone (570) 585-5481

Other identifiers 1

IdentifierTypeStateIssuer
MD427475OtherPAPHYSICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160728001717 PA Practitioner - Psychiatry 6800189895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Medpsych Consultants PCGroup PAC ID 4284052713, 2 clinicians

Practice addresses (Care Compare)

800 Oak St
Scranton, PA 18508-1255
Phone (570) 558-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD427475PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medpsych Consultants PC CurrentSince Mar 16, 2021 Accepting new patients

Locations

800 Oak St
Scranton, PA 18508
Phone (570) 558-7707

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285667840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SKYLINE DR S",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119146",
            "telephone_number": "570-585-5481",
            "fax_number": "570-344-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E ELM ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053925",
            "telephone_number": "570-342-8305",
            "fax_number": "570-344-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNTOKUN",
        "first_name": "OLADAPO",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD427475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "MD427475",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.