Olamide O Borisade, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11037449 Issued in FL

Practice address

309 Glenneyre Cir
Saint Augustine, FL 32092-1226

Phone

(904) 333-1600

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mens Mental HealthGroup PAC ID 5092211367, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, 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.

• Mens Mental Health

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1740099738
  Medicare reassignment Care Compare group
• Metropolitan Behavioral Services LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1801261631
  Medicare reassignment NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1538778527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 DEER LAKE DR E STE 1114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466301",
            "telephone_number": "904-866-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 GLENNEYRE CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921226",
            "telephone_number": "904-333-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISADE",
        "first_name": "OLAMIDE",
        "middle_name": "O",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11037449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Bonjour
• Molly Bonk
• Eliane Guerreiro de Borba, M. ED., BCBA
• Bernard R Borbely, MD
• Borges DMD PLLC
• Claudia Borrero
• David M Bortnick, PHD PSYD ABN
• Jack Bosma, PT, DPT, CSCS
• Cody Bryan Boswell, DC
• Hugo Botero, DPT

• Psychiatric/Mental Health Nurse Practitioner in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.