Individual provider Active NPI

Eunice Olayinka Itabiyi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Abington, PA
National Provider Identifier
1972939569
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP023839 Issued in PA
Practice address
1111 Highland Ave
Abington, PA 19001-3703
Phone
(445) 217-0654
Fax
(215) 886-2123
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 SP023839 PA Primary

Addresses

Primary practice location

1111 Highland Ave
Abington, PA 19001-3703

Mailing address

1111 Highland Ave
Abington, PA 19001-3703
Phone (445) 217-0654

Other practice location 1

170 N Henderson Rd Ste 310
King Of Prussia, PA 19406-2155
Phone (445) 217-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211108000292 PA Practitioner - Nurse Practitioner 9032508320 Reassigns benefits to 1 organization
I20250114003570 NY Practitioner - Nurse Practitioner 9032508320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 4082089461, 64 clinicians

Practice addresses (Care Compare)

4203 Union Deposit Rd
Suite 1098
Harrisburg, PA 17111-2802
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 21, 2024 Accepting new patients
Victoria Memorial Healthcare, LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Olive Tree Healthcare LLC PastSince Jan 1, 2022 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

4203 Union Deposit Rd
Harrisburg, PA 17111
Phone (223) 797-7187

170 N Henderson Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 466-5718

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1972939569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HIGHLAND AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013703",
            "telephone_number": "445-217-0654",
            "fax_number": "215-886-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGHLAND AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013703",
            "telephone_number": "445-217-0654",
            "fax_number": "215-886-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 N Henderson Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062155",
            "country_code": "US",
            "telephone_number": "445-217-0654",
            "fax_number": "215-886-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITABIYI",
        "first_name": "EUNICE",
        "middle_name": "OLAYINKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.