Organization Active NPI

Beta Behavioral Health Services LLC

  • Psychiatry Physician
  • Wynnewood, PA
National Provider Identifier
1821846858
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BETA BEHAVIORAL HEALTH SERVICES LLC
Practice address
300 E Lancaster Ave Ste 106a
Wynnewood, PA 19096-2146
Phone
(267) 442-8172
Fax
(267) 285-1133
NPI assigned
May 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mr. Oluyemi A Olaore, PMH-NPNPI 1144913427
Title
Psychiatric Nurse Practitioner
Phone
(215) 941-0658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

300 E Lancaster Ave Ste 106a
Wynnewood, PA 19096-2146

Mailing address

700 Atwood Rd # 1
Philadelphia, PA 19151-3702
Phone (215) 941-0658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007002855 PA Part B Supplier - Clinic/Group Practice 4688105257 Receives reassigned benefits from 2 practitioners
Practice locations: Wynnewood, PA

National Provider Directory

National Provider Directory

Locations

300 E Lancaster Ave
Ste 106A
Wynnewood, PA 19096
Phone (267) 442-8172

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1821846858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ATWOOD RD # 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513702",
            "telephone_number": "215-941-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 106A",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962146",
            "telephone_number": "267-442-8172",
            "fax_number": "267-285-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETA BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "OLAORE",
        "authorized_official_first_name": "OLUYEMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "215-941-0658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMH-NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.