Active NPI
Ade A Bajulaiye
- Rehabilitation Psychologist
- Oklahoma, OK
National Provider Identifier
1689941809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 103TR0400X
- Practice address
- 8122 N.W. 78TH Ter
Okc
Oklahoma, OK 73132 - Phone
- (405) 720-9752
- NPI assigned
- Nov 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 103TR0400X | OK | Primary |
Addresses
Primary practice location
8122 N.W. 78TH Ter
Okc
Oklahoma, OK 73132
Mailing address
8122 N.W. 78TH Ter
Okc
Oklahoma, OK 73132
Phone (405) 720-9752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103TR0400X | OK | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1689941809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8122 N.W. 78TH TER",
"address_2": "OKC",
"city": "OKLAHOMA",
"state": "OK",
"postal_code": "73132",
"telephone_number": "405-720-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8122 N.W. 78TH TER",
"address_2": "OKC",
"city": "OKLAHOMA",
"state": "OK",
"postal_code": "73132",
"telephone_number": "405-720-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJULAIYE",
"first_name": "ADE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "OK",
"license": "103TR0400X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.