Individual provider Active NPI

Yewande Ojeniyi, LPA

  • Psychologist
  • Katy, TX
National Provider Identifier
1396568077
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40364 Issued in TX
Practice address
633 E Fernhurst Dr Ste 301
Katy, TX 77450-1586
Phone
(832) 900-9819
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 40364 TX Primary

Addresses

Primary practice location

633 E Fernhurst Dr Ste 301
Katy, TX 77450-1586

Mailing address

8327 Chelsea Bend CT
Houston, TX 77083-5242
Phone (832) 533-5243

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40364TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging the Gap Psychological Services, LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

633 E Fernhurst Dr
Ste 301
Katy, TX 77450
Phone (832) 900-9819

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1396568077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 CHELSEA BEND CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835242",
            "telephone_number": "832-533-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501586",
            "telephone_number": "832-900-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJENIYI",
        "first_name": "YEWANDE",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.