Hava Oaks Medical, LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

HAVA OAKS MEDICAL, LLC

Practice address

1 W Main St.
Berryville, VA 22611-1340

Phone

(540) 667-1230

Fax

(540) 277-2174

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Oluwakemi OlawuyiNPI 1508317249

Title

Provider

Phone

(540) 667-1230

Specialties & licenses 8

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

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

• Oluwakemi Olawuyi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Berryville, VA
  • NPI 1508317249
  Medicare reassignment NPD Authorized official
• Russel Brick McKelway, MD

  • Psychiatry Physician
  • Berryville, VA
  • NPI 1942216775
  NPD
• Marcia Anne Fairbanks, LCSW

  • Clinical Social Worker
  • Winchester, VA
  • NPI 1992437008
  NPD (past)
• Kristen Hammett, PA-C

  • Physician Assistant
  • MC Murray, PA
  • NPI 1770942278
  NPD (past)
• Marianne Niles, PH.D.

  • Psychologist
  • Fond Du Lac, WI
  • NPI 1518184910
  NPD (past)

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1972268753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST.",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111340",
            "telephone_number": "540-667-1230",
            "fax_number": "540-277-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST.",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111340",
            "telephone_number": "540-667-1230",
            "fax_number": "540-277-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVA OAKS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "OLAWUYI",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "540-667-1230",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444736100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017437190001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WV8475F490",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 W Main St.",
            "city": "Berryville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226111340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shawn Gaumer
• Jose Antonio Gil-Figueroa, DPT
• GL Virginia Rose Hill, LLC
• Desta Golden, ND, MS
• Wendy Gray, RN
• Kimberly Guidry Heflin, LCSW
• Melanie G Hegamyer, MSW
• Patricia Lynn Willauer Hertz, PA-C
• Hold on Pain Ends LLC
• Hold on Pain Ends LLC

• Behavioral Neurology & Neuropsychiatry Physician in Berryville, VA
• Providers in Berryville, VA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.