Organization Active NPI

Abimbola Gloria Afolayan

  • Clinical Psychologist
  • Bedford, NH
National Provider Identifier
1467360412
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ABIMBOLA GLORIA AFOLAYAN
Practice address
15 Constitution Dr FL 1
Bedford, NH 03110-6042
Phone
(603) 637-3485
Fax
(603) 709-6753
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Abimbola Afolayan
Title
Owner
Phone
(307) 400-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

15 Constitution Dr FL 1
Bedford, NH 03110-6042

Mailing address

9 Willey Rd
Durham, NH 03824-3119
Phone (603) 637-3485

Other names 1

  • Mindspace Psychological Services Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1467360412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILLEY RD",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243119",
            "telephone_number": "603-637-3485",
            "fax_number": "603-709-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION DR FL 1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106042",
            "telephone_number": "603-637-3485",
            "fax_number": "603-709-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIMBOLA GLORIA AFOLAYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "AFOLAYAN",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-400-3020"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindspace Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.