Eden Springs Behavioral Services, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P7391 Issued in TX

Legal business name

EDEN SPRINGS BEHAVIORAL SERVICES, PA

Practice address

4601 Antilley Rd Ste 310
Abilene, TX 79606-5914

Phone

(325) 754-8002

Fax

(325) 754-8007

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Olusegun Bello, MD, MPH, FAPANPI 1043395486

Title

Ceo

Phone

(917) 254-7822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olusegun Bello, M.D.

  • Psychiatry Physician
  • Abilene, TX
  • NPI 1043395486

  TX

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1962936724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S 14TH ST STE 16",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796055000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 ANTILLEY RD STE 310",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065914",
            "telephone_number": "325-754-8002",
            "fax_number": "325-754-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN SPRINGS BEHAVIORAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-254-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH, FAPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P7391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastland Memorial Hospital District
• Eastland Memorial Hospital District
• Eastland Memorial Hospital District
• Eastland Memorial Hospital District
• Christopher S Eddleman, MD, PHD
• De'Nesha Marie Edmond, LPC
• Nealy Edmondson, OD
• Alisa Jo Edmunds, APRN
• Educare Community Living Corporation - Texas
• Educare Community Living Corporation - Texas

• All providers in Abilene, TX
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.

Verify at the official NPI Registry.