Individual provider Active NPI

Olabamidele Oluwadamilola Olanubi, APCC

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1679126924
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2655 Camino del Rio N Ste 450
San Diego, CA 92108-1603
Phone
(858) 633-4115
NPI assigned
Jul 16, 2019
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2655 Camino del Rio N Ste 450
San Diego, CA 92108-1603

Mailing address

2655 Camino del Rio N Ste 450
San Diego, CA 92108-1603
Phone (858) 633-4115

Other practice location 1

1664 Broadway
El Cajon, CA 92021-5201
Phone (619) 579-8685

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Center for Children CurrentSince Jul 24, 2022 Accepting new patients

Locations

2655 Camino del Rio N
Ste 450
San Diego, CA 92108
Phone (619) 455-8622

8825 Aero Dr
Ste 110
San Diego, CA 92123
Phone (619) 455-8622

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1679126924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 CAMINO DEL RIO N STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081603",
            "telephone_number": "858-633-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 CAMINO DEL RIO N STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081603",
            "telephone_number": "858-633-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1664 Broadway",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920215201",
            "country_code": "US",
            "telephone_number": "619-579-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLANUBI",
        "first_name": "OLABAMIDELE",
        "middle_name": "OLUWADAMILOLA",
        "credential": "APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.