Individual provider Active NPI

Olanrewaju Peter Olayemi

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1295394450
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30380 Issued in TX
Practice address
706 Minecreek CT
Mansfield, TX 76063-2274
Phone
(214) 284-5501
NPI assigned
Jun 11, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 30380 TX Primary

Addresses

Primary practice location

706 Minecreek CT
Mansfield, TX 76063-2274

Mailing address

706 Minecreek CT
Mansfield, TX 76063-2274
Phone (214) 284-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191014000611 TX Practitioner - Nurse Practitioner 5698006203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health of North Texas LLPGroup PAC ID 4880924166, 25 clinicians

Practice addresses (Care Compare)

1011 Surrey LN
Suite 103
Flower Mound, TX 75022-4274
Phone (865) 693-1000

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-2000

1341 W Mockingbird LN
Suite 600W
Dallas, TX 75247-6904
Phone (214) 284-5501

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (865) 693-1000

5858 Main St
Suite 200
Frisco, TX 75033-4194
Phone (865) 693-1000

6200 W Parker Rd
Plano, TX 75093-7939
Phone (865) 693-1000

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone (865) 693-1000

8200 Walnut Hill LN
Dallas, TX 75231-4426
Phone (865) 693-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30380TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health of North Texas LLP Single Specialty CurrentSince Nov 21, 2019 Accepting new patients
Delomwood Psychiatry PLLC Single Specialty CurrentSince Sep 28, 2024 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1341 W Mockingbird Ln
Ste 600W
Dallas, TX 75247
Phone (303) 748-5781

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1295394450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MINECREEK CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632274",
            "telephone_number": "214-284-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MINECREEK CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632274",
            "telephone_number": "214-284-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYEMI",
        "first_name": "OLANREWAJU",
        "middle_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "30380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.