Individual provider Active NPI

Bolanle Basirat Olayiwole, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1780187138
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136921 Issued in TX
Practice address
3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone
(214) 743-1200
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP136921 TX Primary

Addresses

Primary practice location

3330 S Lancaster Rd
Dallas, TX 75216-4531

Mailing address

3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone (214) 371-6639

Other practice location 1

5560 Mesa Springs Dr
Fort Worth, TX 76123-2120
Phone (817) 292-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180627002859 TX Practitioner - Nurse Practitioner 1951657303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Mental Health and Mental Retardation CenterGroup PAC ID 2062308091, 68 clinicians

Practice addresses (Care Compare)

1345 River Bend Dr
Suite 200
Dallas, TX 75247-6945
Phone (214) 743-6159

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
56.91
Promoting interoperability
52
Improvement activities
40
Cost
84.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center Single Specialty CurrentSince May 4, 2018 Accepting new patients

Locations

3330 S Lancaster Rd
Dallas, TX 75216
Phone (214) 371-0474

1330 River Bend Dr
Ste 100
Dallas, TX 75247
Phone (214) 333-7076

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

4645 Samuell Blvd
Dallas, TX 75228
Phone (214) 275-7393

9696 Skillman St
Ste 170
Dallas, TX 75243
Phone (469) 680-3500

1350 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 331-0107

1353 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 333-7015

9708 Skillman St
Dallas, TX 75243
Phone (214) 221-5433

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1780187138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "214-371-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5560 Mesa Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761232120",
            "country_code": "US",
            "telephone_number": "817-292-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLAYIWOLE",
        "first_name": "BOLANLE",
        "middle_name": "BASIRAT",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.