Olubunmi Olaide Olawale

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2264640 Issued in MA

Practice address

21 Mayor Thomas J McGrath Hwy Ste 306
Quincy, MA 02169-5351

Phone

(781) 742-0834

Fax

(781) 459-2666

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Heritage Health System LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Quincy, MA
  • NPI 1821780818
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1669953071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAYOR THOMAS J MCGRATH HWY STE 306",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695351",
            "telephone_number": "781-742-0834",
            "fax_number": "781-459-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAYOR THOMAS J MCGRATH HWY STE 306",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695351",
            "telephone_number": "781-742-0834",
            "fax_number": "781-459-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAWALE",
        "first_name": "OLUBUNMI",
        "middle_name": "OLAIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "RN2264640",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2264640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazuki Okamoto, MA
• Kodilim Anne Mukoso Okebalama, FNP-C
• Kasey Okeefe
• Joseph Obeng Okrah
• Oyindamola Olajide, RPH
• Margaret Olem, MSSW, LICSW
• Stephanie Silva Oliveira, MSW, LCSW
• Michael Oliver
• Stacy Marie Oliver, M.ED
• Denia-Marie Ollerton

• Psychiatric/Mental Health Nurse Practitioner in Quincy, MA
• Providers in Quincy, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.