Temitayo Akingbehin, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI 1487340733 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1487340733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- SP027740 (PA)
- Practice address
- 1310 W Roosevelt Blvd
Philadelphia, PA 19140-2033 - Phone
- (267) 444-9183
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 76.62
- Improvement activities
- 40
- Cost
- 78.87
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP027740 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care of Pennsylvania LLC | Single Specialty | Current |
Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | SP027240 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP027740 | PA | Yes |
Addresses
Primary practice location
1310 W Roosevelt Blvd
Philadelphia, PA 19140-2033
Mailing address
9325 Gillespie St
Philadelphia, PA 19114-3921
Phone (267) 444-9183
Other providers in Philadelphia, PA
- Umair Wasim Akhtar
- Sharmin Akhter
- Nadege Saintanas Akil
- Akilah J Pierre MFT
- Olusoji Akinboro
- Oluwatomi Akingbola
- Olufolakemi Adetutu Akinkunmi
- Eunice Akinola
- Temilola Abimbola Akinola
- Alexis Brimm Akins
All providers in Philadelphia, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.