Individual provider Active NPI

Olatunji Folawewo, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1710473087
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199113 Issued in MD
Practice address
7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Phone
(301) 982-3437
NPI assigned
Jul 10, 2018
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R199113 MD Primary

Addresses

Primary practice location

7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523

Mailing address

7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Phone (301) 254-5618

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180816000030 DC Practitioner - Nurse Practitioner 5991053258 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boundless Mental HealthGroup PAC ID 7214310317, 2 clinicians

Practice addresses (Care Compare)

6130 Oxon Hill Rd
Suite 204
Oxon Hill, MD 20745-3168
Phone (240) 791-4549

7474 Greenway Ctr Dr
Suite 700a
Greenbelt, MD 20770-3523
Phone (301) 982-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R199113MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Services PC CurrentSince Apr 15, 2020 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 9, 2024 Accepting new patients
Boundless Mental Health CurrentSince Jul 9, 2022 Accepting new patients
Lifespan Behavioral Health Services PC CurrentSince Apr 15, 2020 Accepting new patients
Lifespan Behavioral Health Services PC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

3416 Olandwood Ct
Ste 201
Olney, MD 20832
Phone (301) 774-9400

3460 Olney Laytonsville Rd
Ste 212
Olney, MD 20832
Phone (301) 982-3437

6130 Oxon Hill Rd
Ste 204
Oxon Hill, MD 20745
Phone (240) 791-4549

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 7

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1710473087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 730",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "301-254-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 730",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "301-982-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLAWEWO",
        "first_name": "OLATUNJI",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.