Active NPI
Dorcas Iyabo Adepoju, MD
- Psychiatry Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N6129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-6570 | AR | MD | Psychiatry Physician |
| 04-32801 | KS | MD | Psychiatry Physician |
| N6129 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Insight Mental Wellness PA | Psychiatry | Current | 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.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1598243479
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1407513443
-
- Psychiatry Physician
- Overland Park, KS
- NPI 1487422234
-
- Community/Behavioral Health Agency
- Texarkana, AR
- NPI 1598761553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.