Safe Havens PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SAFE HAVENS PLLC

Practice address

2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010

Phone

(281) 818-0667

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Oyebola Oyelade, APRNNPI 1154964849

Title

Psych-NP/Owner

Phone

(817) 713-5655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oyebola Omofadeke Oyelade

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clara, CA
  • NPI 1154964849

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1487425062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 MUSTANG DR STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511010",
            "telephone_number": "281-818-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 MUSTANG DR STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511010",
            "telephone_number": "281-818-0667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Plaza Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Northlake",
            "state": "TX",
            "postal_code": "762263479",
            "country_code": "US",
            "telephone_number": "817-713-5655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE HAVENS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "OYELADE",
        "authorized_official_first_name": "OYEBOLA",
        "authorized_official_title_or_position": "PSYCH-NP/OWNER",
        "authorized_official_telephone_number": "817-713-5655",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ryan Jr., MD
• S C Nutrition
• S Robert Harla DO PA
• Jaysukh Narsi Sabhaya, RPH
• Ken Sacramento, APRN
• Sage Physician Partners, Inc
• Winnie Elsa Saji, D.M.D.
• Nevin Saju, DPT
• Edgar David Salinas
• Sam'S East, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.