Individual provider Active NPI

Catherine Oyenike Oyejide, MD

  • Psychiatry Physician
  • Summit, NJ
National Provider Identifier
1962456178
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A72914 Issued in CA
Practice address
99 Beauvoir Ave
Dept of Psychiatry Overlook Hospital
Summit, NJ 07901-3533
Phone
(949) 735-6406
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A72914 CA Primary

Addresses

Primary practice location

99 Beauvoir Ave
Dept of Psychiatry Overlook Hospital
Summit, NJ 07901-3533

Mailing address

99 Beauvoir Ave
Dept of Psychiatry Overlook Hospital
Summit, NJ 07901-3533
Phone (949) 739-6406

Other practice location 1

1515 North Sunrise Way
Palm Springs, CA 92262
Phone (800) 499-3008

Other practice location 2

14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone (951) 358-4500

Other names 1

  • Dr. Catherine Oyenike Awodola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260508002195 NC Practitioner - Psychiatry 4880873959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E Wendover Ave
FL 2
Greensboro, NC 27401-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A72914CAMDPsychiatry Physician

Organizations & group practices 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1962456178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "address_2": "DEPT OF PSYCHIATRY OVERLOOK HOSPITAL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "949-739-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "address_2": "DEPT OF PSYCHIATRY OVERLOOK HOSPITAL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "949-735-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 North Sunrise Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "92262",
            "country_code": "US",
            "telephone_number": "800-499-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14320 Palm Dr",
            "address_purpose": "LOCATION",
            "city": "Desert Hot Springs",
            "state": "CA",
            "postal_code": "922406874",
            "country_code": "US",
            "telephone_number": "951-358-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEJIDE",
        "first_name": "CATHERINE",
        "middle_name": "OYENIKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "AWODOLA",
            "middle_name": "OYENIKE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.