Individual provider Active NPI

Oladayo Simeon Farodoye, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coppell, TX
National Provider Identifier
1346738135
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704330380 Issued in MI
Practice address
607 Westhaven Rd
Coppell, TX 75019-2504
Phone
(314) 891-4200
NPI assigned
Apr 26, 2018
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10022252 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020006139 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1113179 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704330380 MI Primary

Addresses

Primary practice location

607 Westhaven Rd
Coppell, TX 75019-2504

Mailing address

2807 Allen St # 2109
Dallas, TX 75204-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MO, IL, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180620001719 MI Practitioner - Nurse Practitioner 8628323375
I20200910000827 MO Practitioner - Nurse Practitioner 8628323375 Reassigns benefits to 2 organizations
I20230522001427 IL Practitioner - Nurse Practitioner 8628323375 Reassigns benefits to 1 organization
I20251111002817 TX Practitioner - Nurse Practitioner 8628323375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health of North Texas LLPGroup PAC ID 4880924166, 25 clinicians

Practice addresses (Care Compare)

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

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10022252ORMDPsychiatric/Mental Health Nurse Practitioner
1113179TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Oct 1, 2025 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Jul 1, 2020 Accepting new patients
Heartland Rural Healthcare, LLC Past Accepting new patients

Locations

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

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

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1588/brand/1/csg/121/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.

Hospital & facility affiliations 1

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1346738135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 ALLEN ST # 2109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WESTHAVEN RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192504",
            "telephone_number": "314-891-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARODOYE",
        "first_name": "OLADAYO",
        "middle_name": "SIMEON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10022252",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2020006139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1113179",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704330380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.