Abiodun Agbabiaka, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hicksville, NY
NPI 1962373662 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1962373662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F407561-01 (NY)
- Practice address
- 950 South Oyster Bay Road
Hicksville, NY 11801-3510 - Phone
- (516) 390-6544
- NPI assigned
- Sep 16, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2794 2ND PL
Baldwin, NY 11510-4039
950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260115002045 | NY | Practitioner - Nurse Practitioner | 9739665191 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F407561-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Nassau Guidance & Counseling Services, Inc. | Current |
Accepting new patients |
Locations
950 S Oyster Bay Rd
Hicksville, NY 11801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F407561-01 | NY | Yes |
Addresses
Primary practice location
950 South Oyster Bay Road
Hicksville, NY 11801-3510
Mailing address
950 South Oyster Bay Road
Hicksville, NY 11801-3510
Phone (516) 390-6544
Other providers in Hicksville, NY
- Madison Rose Adler
- Alexandra Adrien
- Advanced Wound Care Medical Practice, PC
- Advantage Medical Solutions LTD
- Ag Child and Adult Psychology, P.C.
- Olufunmilayo Adetokunbo Agboola
- Sandra Agenor-Alexandre
- Nicolette Jade Agostinacchio
- Arslan Ahmad I
- Syed Ameer Ahmad
All providers in Hicksville, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.