Individual provider Active NPI

Yimi Omofuma, M.A, PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1497208045
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38414 Issued in TX
Practice address
18102 Talavera RDG
San Antonio, TX 78257
Phone
(210) 461-8950
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38414 TX Primary
Clinical Psychologist 103TC0700X 38414 TX

Addresses

Primary practice location

18102 Talavera RDG
San Antonio, TX 78257

Mailing address

18102 Talavera RDG
#3229
San Antonio, TX 78257

Other names 1

  • Yimi Isimemen Omofuma Other name

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)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38414TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Behavioral Health Services, Inc Psychologist CurrentSince Aug 25, 2019 Accepting new patients

Locations

2161 NW Military Hwy
Ste 207
San Antonio, TX 78213
Phone (210) 447-6363

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.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1497208045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 TALAVERA RDG",
            "address_2": "#3229",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 TALAVERA RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-461-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOFUMA",
        "first_name": "YIMI",
        "credential": "M.A, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38414",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YIMI",
            "last_name": "OMOFUMA",
            "middle_name": "ISIMEMEN",
            "credential": "PHD, MSCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.