Individual provider Active NPI

Dorcas Iyabo Adepoju, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1295947026
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N6129 Issued in TX
Practice address
1 Haven for Hope Way
San Antonio, TX 78207-1108
Phone
(210) 220-2478
Fax
(210) 220-2444
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-6570 AR
Psychiatry Physician 2084P0800X N6129 TX Primary
Psychiatry Physician 2084P0800X 04-32801 KS

Addresses

Primary practice location

1 Haven for Hope Way
San Antonio, TX 78207-1108

Mailing address

1 Haven for Hope Way
San Antonio, TX 78207-1108
Phone (210) 220-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101216000959 AR Practitioner - Psychiatry 4082802079 Reassigns benefits to 1 organization
I20120619000147 TX Practitioner - Psychiatry 4082802079 Reassigns benefits to 2 organizations
I20240419003499 NY Practitioner - Psychiatry 4082802079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

1400 N Coit Rd
Talkiatry Suite 302
McKinney, TX 75071-6656
Phone (917) 634-5311

400 W Capitol Ave
Suite 1700
Little Rock, AR 72201-3438
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6570ARMDPsychiatry Physician
04-32801KSMDPsychiatry Physician
N6129TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Feb 13, 2024 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Apr 1, 2024 Accepting new patients
Insight Mental Wellness PA Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc Past Accepting new patients
Medvon Medical Clinic Professional Corporation Past Accepting new patients
MCCD KS Psychiatry Services PA Psychiatry Past Accepting new patients

Locations

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

8101 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 227-9605

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

10807 Perrin Beitel Rd
Ste 300
San Antonio, TX 78217
Phone (210) 245-7862

12915 Jones Maltsberger Rd
Ste 102
San Antonio, TX 78247
Phone (210) 245-7862

Organizations & group practices 6

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1295947026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAVEN FOR HOPE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071108",
            "telephone_number": "210-220-2478",
            "fax_number": "210-220-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVEN FOR HOPE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071108",
            "telephone_number": "210-220-2478",
            "fax_number": "210-220-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEPOJU",
        "first_name": "DORCAS",
        "middle_name": "IYABO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-6570",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6129",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-32801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.