Active NPI
Oluwatayo Ronald Akinmuyisan
- Counselor
- Dorchester, MA
National Provider Identifier
1427562560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 321 Blue Hill Ave
Dorchester, MA 02121-4302 - Phone
- (617) 541-6859
- Fax
- (617) 445-2125
- NPI assigned
- Nov 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
321 Blue Hill Ave
Dorchester, MA 02121-4302
Mailing address
1450 Worcester Rd Apt 8322a
Framingham, MA 01702-8971
Phone (443) 889-0987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5500-3854 | Other | MA | ALLIED WORLD SPECIALITY INSURANCE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roxbury Multi-Service Center | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1962872440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1427562560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 WORCESTER RD APT 8322A",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028971",
"telephone_number": "443-889-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021214302",
"telephone_number": "617-541-6859",
"fax_number": "617-445-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINMUYISAN",
"first_name": "OLUWATAYO",
"middle_name": "RONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-28",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED WORLD SPECIALITY INSURANCE",
"identifier": "5500-3854",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.