Olumuyiwa Adegbenga Abdul, MD
Individual provider Active NPI Psychiatry Physician · Richmond, TX
NPI 1285898940 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1285898940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 35.095855 (OH)
- Practice address
- 2100 Preston St
Richmond, TX 77469-1419 - Phone
- (216) 255-5116
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 45
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Texas Southwestern Medical Center at Dallas
Practice addresses (Care Compare)
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (214) 645-0624
Hospital & facility affiliations
- Parkland Health & Hospital System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140314001439 | TX | Practitioner - Psychiatry |
2264600345 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321409 | LA | MD | Psychiatry Physician |
| 35.095855 | OH | MD | Psychiatry Physician |
| P1954 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current |
Accepting new patients | |
| Health and Human Services Commission | Psychiatry | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Spindletop MHMR Services | Current |
Accepting new patients | |
| Tri-County Behavioral Healthcare | Current |
Accepting new patients | |
| Uplift Recovery and Wellness Center Inc | Current |
Accepting new patients | |
| Crossessence Mental Healthcare Group, LLC | Current |
Accepting new patients | |
| Spindletop MHMR Services | Current |
Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Psychiatry | Current |
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
706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102
233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
12971 Westheimer Rd
Ste A
Houston, TX 77077
Phone (404) 454-9721
2100 Preston St
Richmond, TX 77469
Phone (281) 232-2075
2006 Thompson Rd
Ste 104
Richmond, TX 77469
Phone (281) 239-3155
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
Other providers in Richmond, TX
- Abby Care Homes LLC
- Abcd Anesthesia, LLC
- Ghalia Abdel Rahim
- Ala Taha Abdeldaim
- Mustafa Abdi
- Abdulla Hussein Abdulla
- Hameedat Anike Abdulwahab
- Abe'S House LLC
- Rebecca O Abegunde
- Jodi Lynn Abke
All providers in Richmond, TX · Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.