Individual provider Active NPI

Sadiat Kristina Olatunbosun, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1407017759
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P2328 Issued in TX
Practice address
1502 Taub Loop
2ND Floor
Houston, TX 77030-1608
Phone
(713) 873-4901
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P2328 TX Primary

Addresses

Primary practice location

1502 Taub Loop
2ND Floor
Houston, TX 77030-1608

Mailing address

1502 Taub Loop
2ND Floor
Houston, TX 77030-1608
Phone (713) 873-4901

Other names 1

  • Dr. Sadat Kristina Olatunbosun Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121005000043 TX Practitioner - PsychiatryPractitioner - Neurology 5395994404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Harris Center for Mental Health and IddGroup PAC ID 9739088790, 122 clinicians
Spindletop MHMR ServicesGroup PAC ID 1658268321, 19 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 970-7000

2750 S 8TH St
Beaumont, TX 77701-7719
Phone (409) 839-1000

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
78.41
Improvement activities
40
Cost
77.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Harris Center for Mental Health and Idd CurrentSince Sep 4, 2012 Accepting new patients
TP-Health Incorporated Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Spindletop MHMR Services CurrentSince Nov 29, 2023 Accepting new patients
Spindletop MHMR Services Current Accepting new patients
Aslam Loya, M.D. P.a Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

1502 Taub Loop
Fl 2
Houston, TX 77030
Phone (713) 873-5134

4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677

3401 57th St
Port Arthur, TX 77642
Phone (409) 813-8340

Organizations & group practices 6

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1407017759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 TAUB LOOP",
            "address_2": "2ND FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 TAUB LOOP",
            "address_2": "2ND FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUNBOSUN",
        "first_name": "SADIAT",
        "middle_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADAT",
            "last_name": "OLATUNBOSUN",
            "middle_name": "KRISTINA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.