Active NPI
Beta Behavioral Health Services LLC
- Psychiatry Physician
- Wynnewood, PA
National Provider Identifier
1821846858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Oluyemi A Olaore, PMH-NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
- NPI 1144913427
-
- Psychiatric/Mental Health Nurse Practitioner
- Yeadon, PA
- NPI 1922372531
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.