Individual provider Active NPI

Olatunde Oyelola

  • Adult Mental Health Clinic/Center
  • Miami, FL
National Provider Identifier
1528649779
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Practice address
21032 NE 2ND CT
Miami, FL 33179-3101
Phone
(954) 243-9624
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

21032 NE 2ND CT
Miami, FL 33179-3101

Mailing address

21032 NE 2ND CT
Miami, FL 33179-3101
Phone (954) 243-9624

Electronic endpoints 6

TypeEndpointUseAffiliation
Other URL www.psych-md.com Direct
Other URL www.psych-md.com Direct
Other URL www.psych-md.com Direct
Other URL www.psych-md.com Direct
Other URL www.psych-md.com Direct
Other URL www.psych-md.com Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528649779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21032 NE 2ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793101",
            "telephone_number": "954-243-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21032 NE 2ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793101",
            "telephone_number": "954-243-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYELOLA",
        "first_name": "OLATUNDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-09-11",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.psych-md.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21032 NE 2nd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.psych-md.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21032 NE 2nd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.psych-md.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21032 NE 2nd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.psych-md.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21032 NE 2nd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.psych-md.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21032 NE 2nd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.psych-md.com",
            "affiliation": "N",
            "endpointDescription": "Telehealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21032 NE 2nd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.