Oyewole G Ogunnaike

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1063029 Issued in TX

Practice address

1057 Poquonnock Rd # 6
Groton, CT 06340-6630

Phone

(860) 984-4552

Fax

(844) 321-6166

NPI assigned

Jan 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT, RI, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

69.09 of 100Reported as group

Quality

73.07

Promoting interoperability

0

Improvement activities

40

Cost

73.89

Merit-based Incentive Payment System (MIPS)

Final score

87.14 of 100Reported as group

Quality

71.85

Improvement activities

40

Cost

75.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ever Flourish Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Groton, CT
  • NPI 1013693373

  RI, Single Specialty

  Medicare reassignment NPD Authorized official
• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740

  Single Specialty

  Medicare reassignment NPD
• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  CT, Single Specialty, TX

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, Single Specialty

  Medicare reassignment NPD
• Supportive Care I of Rhode Island PC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1912666454

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1497416424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EUGENE ONEILL DR",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206410",
            "telephone_number": "956-215-6450",
            "fax_number": "844-321-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK RD # 6",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406630",
            "telephone_number": "860-984-4552",
            "fax_number": "844-321-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 George Washington Hyw, Building B",
            "address_2": "Suite 103, Unit 5",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "02865",
            "country_code": "US",
            "telephone_number": "860-984-4552",
            "fax_number": "844-321-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNNAIKE",
        "first_name": "OYEWOLE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1063029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "everflourishmh@gmx.com",
            "affiliation": "Y",
            "affiliationName": "Ever Flourish Mental Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1057 Poquonnock Rd # 6",
            "city": "Groton",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063406630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Oblinsky, BCBA
• Odd Fellows Home of Connecticut
• Odd Fellows Home of Connecticut
• Kaitlyn Odonnell, PHARM.D.
• Patricia Odonnell, RPH
• Robert M Okane
• Anthony Joseph Okrie, IDC
• Stacie Hamai Oliver, L.M.T.
• Kennedy Onditi
• Philip Leslie Oppliger, IDC

• Psychiatric/Mental Health Nurse Practitioner in Groton, CT
• Providers in Groton, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.