Individual provider Active NPI

Adedute A Gbadehan, M.D.

  • Psychiatry Physician
  • Gardena, CA
National Provider Identifier
1720282429
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD444596 Issued in PA
Practice address
1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Phone
(877) 515-8113
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101263878 VA
Psychiatry Physician 2084P0800X 270936 NY
Psychiatry Physician 2084P0800X MD444596 PA Primary

Addresses

Primary practice location

1225 W 190TH St Ste 280
Gardena, CA 90248-4305

Mailing address

5417 Arnolds CT
Columbia, MD 21045-2495
Phone (240) 350-3883

Other practice location 1

211 Georgian Pl
Somerset, PA 15501-1610
Phone (814) 485-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, CA, AZ, WV, MD, DC7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20160413000853 NY Practitioner - Psychiatry 9931407616 Reassigns benefits to 1 organization
I20190201000590 VA Practitioner - Psychiatry 9931407616 Reassigns benefits to 1 organization
I20250227002196 CA Practitioner - Psychiatry 9931407616 Reassigns benefits to 1 organization
I20250227002425 AZ Practitioner - Psychiatry 9931407616 Reassigns benefits to 1 organization
I20250311000364 WV Practitioner - Psychiatry 9931407616 Reassigns benefits to 1 organization
I20260128000385 MD Practitioner - Psychiatry 9931407616 Reassigns benefits to 1 organization
I20260319000552 DC Practitioner - Psychiatry 9931407616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians
MD Behavioral Health LLCGroup PAC ID 8820445364, 12 clinicians

Practice addresses (Care Compare)

1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (310) 515-8113

4000 Mitchellville Rd
Suite A414
Bowie, MD 20716-3142
Phone (301) 249-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD444596PAMDPsychiatry Physician
0101263878VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercity Psychotherapy Services LCSW, P.C. Psychiatry CurrentSince Feb 20, 2025 Accepting new patients
Cognitive Medicine Practice PLLC Psychiatry CurrentSince Jan 21, 2025 Accepting new patients
Friendly Psychiatry, Inc. Psychiatry CurrentSince Dec 3, 2025 Accepting new patients
Sondermind Provider Network LLC Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Feb 21, 2025 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
Hope Psychiatricare Inc Psychiatry Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

4900 California Ave
Bakersfield, CA 93309
Phone (404) 273-4596

10601 Walker St
Cypress, CA 90630
Phone (714) 656-2130

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

3031 Tisch Way
San Jose, CA 95128
Phone (408) 350-1306

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

7135 Minstrel Way
Ste 204
Columbia, MD 21045
Phone (301) 357-0038

7906 4th Ave
Brooklyn, NY 11209
Phone (718) 704-0898

6806 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 366-0775

1250 Central Park Ave
Yonkers, NY 10704
Phone (718) 704-0898

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3710

310 American Way
#A
Weirton, WV 26062
Phone (304) 797-6410

Organizations & group practices 10

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1720282429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 ARNOLDS CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452495",
            "telephone_number": "240-350-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "877-515-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Georgian Pl",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155011610",
            "country_code": "US",
            "telephone_number": "814-485-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GBADEHAN",
        "first_name": "ADEDUTE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101263878",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "270936",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD444596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.