Active NPI
Oladayo Simeon Farodoye, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Coppell, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704330380
- Practice address
- 607 Westhaven Rd
Coppell, TX 75019-2504 - Phone
- (314) 891-4200
- NPI assigned
- Apr 26, 2018
- Last updated
- May 5, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10022252 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1113179 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Behavioral Health of North Texas LLP | Current | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Current | 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
- 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.
-
- Prescribing (Medical) Psychologist
- Dallas, TX
- NPI 1699328195
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
MO
-
- Psychiatric/Mental Health Nurse Practitioner
- Coppell, TX
- NPI 1194587154
-
dba Long Term Psychiatric Management
- Psychiatry Physician
- Saint Louis, MO
- NPI 1063632826
IL
-
- Family Medicine Physician
- Marion, IL
- NPI 1275166134
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.