Individual provider Active NPI

Oluwatobi Olaofe, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1922956473
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407953 Issued in NY
Practice address
2100 Nesconset Hwy # 1066
Stony Brook, NY 11790-3503
Phone
(631) 771-8521
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 407953 NY Primary

Addresses

Primary practice location

2100 Nesconset Hwy # 1066
Stony Brook, NY 11790-3503

Mailing address

2100 Nesconset Hwy # 1066
Stony Brook, NY 11790-3503
Phone (631) 771-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
407953NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Loving Care Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jun 21, 2026 Accepting new patients

Locations

61 Route 111
Smithtown, NY 11787
Phone (516) 857-3193

Organizations & group practices 1

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": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1922956473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NESCONSET HWY # 1066",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903503",
            "telephone_number": "631-771-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NESCONSET HWY # 1066",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903503",
            "telephone_number": "631-771-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAOFE",
        "first_name": "OLUWATOBI",
        "name_prefix": "Mrs.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.