Organization Active NPI

T H Mental Health Services

  • Psychiatry Physician
  • Springfield, IL
National Provider Identifier
1689313082
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
T H MENTAL HEALTH SERVICES
Practice address
2041 W Iles Ave Ste C
Springfield, IL 62704-7006
Phone
(217) 553-0266
NPI assigned
Jun 2, 2022
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Omotola Wasilat Danmole-Odimayo, PMHNPNPI 1619179041
Title
Admistrator
Phone
(217) 553-0266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2041 W Iles Ave Ste C
Springfield, IL 62704-7006

Mailing address

7011 Preston Dr
Springfield, IL 62711-4310
Phone (217) 553-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718002252 IL Part B Supplier - Clinic/Group Practice 2668988437 Receives reassigned benefits from 3 practitioners
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

2041 W Iles Ave
Ste C
Springfield, IL 62704
Phone (217) 553-0266

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1689313082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 PRESTON DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627114310",
            "telephone_number": "217-553-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 W ILES AVE STE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047006",
            "telephone_number": "217-553-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T H MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "DANMOLE-ODIMAYO",
        "authorized_official_first_name": "OMOTOLA",
        "authorized_official_middle_name": "WASILAT",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "217-553-0266",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.