Olutope Fakiyesi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD064023L Issued in PA

Practice address

225 Newtown Road
Warminster, PA 18974

Phone

(215) 441-6600

Fax

(215) 441-6891

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norristown, PA
  • NPI 1568567071
  Medicare reassignment NPD
• Land Medical, Inc.

  • Child & Adolescent Psychiatry Physician
  • Feasterville Trevose, PA
  • NPI 1568559714
  Medicare reassignment NPD
• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • Norristown, PA
  • NPI 1447233317
  Medicare reassignment NPD
• Pennsylvania Department of Public Welfare

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD
• Elderly Care Counseling Services LLC

  • Group Psychotherapy Psychologist
  • Fort Washington, PA
  • NPI 1821196999
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407879109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 MCDIVITT DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223357",
            "telephone_number": "610-524-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NEWTOWN ROAD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "18974",
            "telephone_number": "215-441-6600",
            "fax_number": "215-441-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKIYESI",
        "first_name": "OLUTOPE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD064023L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0532414000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017956240005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260048344",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIS",
            "identifier": "261126000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erickson Health Medical Group of Pennsylvania PC
• Erickson Health Medical Group of Pennsylvania, PC
• Daniel Esherick, MA
• Barbara Evans, CRNA
• Excel Copmanion Care Inc
• Corinne Michelle Falgares, MA, LPC
• Family Service Association of Bucks County
• Family Service Association of Bucks County
• Family Service Association of Bucks County
• Jillian Kathleen Farnan, OTA

• Psychiatry Physician in Warminster, PA
• Providers in Warminster, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.