Individual provider Active NPI

Temitope O. Oyegbile, M.D.

  • Child & Adolescent Psychiatry Physician
  • MC Lean, VA
National Provider Identifier
1326219841
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101256049 Issued in VA
Practice address
8000 Westpark Dr Ste 140
MC Lean, VA 22102-3197
Phone
(571) 488-1274
Fax
(703) 404-2703
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101256049 VA
Child & Adolescent Psychiatry Physician 2084P0804X 0101256049 VA Primary

Addresses

Primary practice location

8000 Westpark Dr Ste 140
MC Lean, VA 22102-3197

Mailing address

8000 Westpark Dr Ste 140
MC Lean, VA 22102-3197
Phone (571) 488-1274

Other identifiers 1

IdentifierTypeStateIssuer
03288497MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101256049VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Peak Inc Psychiatry Current Accepting new patients

Locations

8000 Westpark Dr
Ste 140
Tysons Corner, VA 22102
Phone (571) 488-1274

Organizations & group practices 1

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1326219841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 WESTPARK DR STE 140",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023197",
            "telephone_number": "571-488-1274",
            "fax_number": "703-404-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 WESTPARK DR STE 140",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023197",
            "telephone_number": "571-488-1274",
            "fax_number": "703-404-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEGBILE",
        "first_name": "TEMITOPE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101256049",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101256049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03288497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.