Individual provider Active NPI

Oluwaseyi Oluwaseun Effraim, MPH MSN CRNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1902586043
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027883 Issued in PA
Practice address
7516 City Ave Ste 7&8
Philadelphia, PA 19151-2102
Phone
(484) 383-2710
NPI assigned
Jul 24, 2023
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 Practitioner 363LP0808X SP027883 PA Primary

Addresses

Primary practice location

7516 City Ave Ste 7&8
Philadelphia, PA 19151-2102

Mailing address

1000 Germantown Pike Ste B1
Plymouth Meeting, PA 19462-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230817002053 PA Practitioner - Nurse Practitioner 0345503272 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Restore 360 LLCGroup PAC ID 3678963246, 2 clinicians

Practice addresses (Care Compare)

1908 W Allen St
Suite 101
Allentown, PA 18104-5005
Phone (484) 373-2710

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
76.62
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027883PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Pennsylvania LLC CurrentSince Aug 1, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 14, 2025 Accepting new patients
Effraim Home Care Agency LLC CurrentSince Apr 26, 2018 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

1000 Germantown Pike
Ste B1
Plymouth Meeting, PA 19462
Phone (215) 826-7422

Organizations & group practices 5

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1902586043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE B1",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 CITY AVE STE 7&8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512102",
            "telephone_number": "484-383-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFRAIM",
        "first_name": "OLUWASEYI",
        "middle_name": "OLUWASEUN",
        "name_prefix": "Mrs.",
        "credential": "MPH MSN CRNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.