Active NPI
Adewale Olatunji Oyemade, M.D.
- Child & Adolescent Psychiatry Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD207231
- Practice address
- 1539 Jackson Ave Ste 300
New Orleans, LA 70130-5863 - Phone
- (504) 581-3933
- Fax
- (504) 596-3933
- NPI assigned
- May 30, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD039150 | DC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C191667 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD207231 | LA | Primary |
Addresses
Primary practice location
1539 Jackson Ave Ste 300
New Orleans, LA 70130-5863
Mailing address
5868 Catina St
New Orleans, LA 70124-1941
Phone (202) 276-2817
Other practice location 1
201 Greenbrier Blvd
Covington, LA 70433-7236
Phone (985) 893-2970
Other practice location 2
15434 W Sage St
Victorville, CA 92392-9751
Phone (760) 843-0506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C191667 | CA | MD | Child & Adolescent Psychiatry Physician |
| MD039150 | DC | MD | Child & Adolescent Psychiatry Physician |
| MD207231 | LA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Hospital, LLC | Current | Accepting new patients | |
| River Oaks Inc | Current | Accepting new patients | |
| River Oaks Inc | Current | Accepting new patients | |
| Foothill Behavioral Health Consultants Inc | Past | Accepting new patients | |
| Pelts, Kirkhart, Major and Associates, LLC | Past | Accepting new patients | |
| Savanna Olsson, Pmhnp: a Professional Nursing Corporation | Past | Accepting new patients |
Locations
201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940
1525 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2273
Organizations & group practices 6
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.
-
- Psychiatric Hospital
- Covington, LA
- NPI 1659451664
-
- Psychiatry Physician
- New Orleans, LA
- NPI 1528230976
-
- Psychiatric Hospital
- New Orleans, LA
- NPI 1851350862
-
- Clinical Psychologist
- New Orleans, LA
- NPI 1013047976
-
- Psychiatry Physician
- Victorville, CA
- NPI 1265443154
-
- Nursing Care Agency
- Victorville, CA
- NPI 1942955935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1801054366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5868 CATINA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701241941",
"telephone_number": "202-276-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 JACKSON AVE STE 300",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701305863",
"telephone_number": "504-581-3933",
"fax_number": "504-596-3933"
}
],
"practiceLocations": [
{
"address_1": "201 Greenbrier Blvd",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "704337236",
"country_code": "US",
"telephone_number": "985-893-2970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15434 W Sage St",
"address_purpose": "LOCATION",
"city": "Victorville",
"state": "CA",
"postal_code": "923929751",
"country_code": "US",
"telephone_number": "760-843-0506",
"fax_number": "760-843-0507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OYEMADE",
"first_name": "ADEWALE",
"middle_name": "OLATUNJI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "DC",
"license": "MD039150",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C191667",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "LA",
"license": "MD207231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.