Active NPI
Oyeyemi A Adeyiga, PHD
- Psychologist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1443
- Practice address
- 10525 Westover Ave
Oklahoma City, OK 73162-5628 - Phone
- (718) 864-1577
- NPI assigned
- Jul 3, 2013
- Last updated
- Dec 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6172 | OK | |
| Psychologist | 103T00000X | 1443 | OK | Primary |
Addresses
Primary practice location
10525 Westover Ave
Oklahoma City, OK 73162-5628
Mailing address
10525 Westover Ave
Oklahoma City, OK 73162-5628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004893890A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 N Meridian Ave
Suite I
Oklahoma City, OK 73107-5700
Phone (405) 373-6496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6172 | OK | MD | Professional Counselor |
| 1443 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Betterway Psychiatric and Psychological Services | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Luscent Counseling Services LLC | Past | Accepting new patients |
Locations
4334 NW Expressway
Ste 281
Oklahoma City, OK 73116
Phone (405) 414-6446
2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236
Interoperability endpoints
- https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Oklahoma City, OK
- NPI 1598515785
-
dba Citizen Potawatomi Nation West Clinic
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1881981744
TX
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1629514872
-
dba Citizen Potawatomi Nation Clinic
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1194752949
-
- Chiropractor
- Shawnee, OK
- NPI 1427659523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1336589472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10525 WESTOVER AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731625628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10525 WESTOVER AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731625628",
"telephone_number": "718-864-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEYIGA",
"first_name": "OYEYEMI",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-03",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6172",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "1443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004893890A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.