NPIMap

Individual provider Active NPI

Olumuyiwa Adegbenga Abdul, MD

  • Psychiatry Physician
  • Richmond, TX
National Provider Identifier
1285898940
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.095855 Issued in OH
Practice address
2100 Preston St
Richmond, TX 77469-1419
Phone
(216) 255-5116
NPI assigned
Jul 11, 2008
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 321409 LA
Psychiatry Physician 2084P0800X P1954 TX
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 35.095855 OH Primary

Addresses

Primary practice location

2100 Preston St
Richmond, TX 77469-1419

Mailing address

2100 Preston St
Richmond, TX 77469-1419
Phone (216) 255-5116

Other practice location 1

209 Garfield St
Lafayette, LA 70501-7029
Phone (337) 565-0843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140314001439 TX Practitioner - PsychiatryPractitioner - Neurology 2264600345 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (214) 645-0624

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Recovery and Wellness Center Inc CurrentSince Dec 8, 2024 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 4, 2014 Accepting new patients
Spindletop MHMR Services CurrentSince Apr 19, 2024 Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Mar 21, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Psychiatry CurrentSince Jan 4, 2014 Accepting new patients
Health and Human Services Commission CurrentSince Sep 16, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Spindletop MHMR Services CurrentSince Apr 19, 2024 Accepting new patients
Crossessence Mental Healthcare Group, LLC CurrentSince Jan 1, 2023 Accepting new patients
CWT Behavioral Health Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

12971 Westheimer Rd
Ste A
Houston, TX 77077
Phone (404) 454-9721

2006 Thompson Rd
Ste 104
Richmond, TX 77469
Phone (281) 239-3155

2100 Preston St
Richmond, TX 77469
Phone (281) 232-2075

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 11

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1285898940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PRESTON ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774691419",
            "telephone_number": "216-255-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PRESTON ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774691419",
            "telephone_number": "216-255-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Garfield St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705017029",
            "country_code": "US",
            "telephone_number": "337-565-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDUL",
        "first_name": "OLUMUYIWA",
        "middle_name": "ADEGBENGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "321409",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P1954",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.095855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.