Mr. Ayodeji Bamidele Olawale

PMHNP | Nurse Practitioner - Psych/Mental Health | 3+ years Exp

Accepts Medicare Psych/Mental Health Nurse Practitioner in Bridgeport, Connecticut.
Mr. Ayodeji Bamidele Olawale is a Bridgeport, Connecticut based nurse practitioner with 3 years of experience in Psych/Mental Health. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Ayodeji Bamidele Olawale is 10362 for Psych/Mental Health in Connecticut. His current practice location is 267 Grant St, Bridgeport. Patients can reach him at 203-384-3709. Mr. Ayodeji Bamidele Olawale is PMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1598395725.
Mr. Ayodeji Bamidele Olawale provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.

Complete Profile:
Mr. Ayodeji Bamidele Olawale speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Ayodeji Bamidele Olawale
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: PMHNP
Experience: 3+ years
Medical School Attended:Other
Graduation Year:2021
Accepts Medicare Assignment:Yes
Practice Address:267 Grant St, Bridgeport,
Connecticut, 06610-2805
Phone:203-384-3709
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1759711278
Enrollment ID: I20220421000442
NPI Number: 1598395725
NPI Enumeration Date: 15 Jan, 2020
NPI Last Update On: 06 Sep, 2022

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ayodeji Bamidele Olawale are as mentioned below.
License NumberSpecializationStateStatus
10362Psych/Mental Health ConnecticutPrimary
R210564Psych/Mental Health MarylandSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(070010)Bridgeport, CTAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Ayodeji Bamidele Olawale is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Northeast Medical Group Inc (1254233836)1160
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ayodeji Bamidele Olawale such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1598395725MedicaidConnecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Ayodeji Bamidele Olawale
9510 Caveat Ct,
Randallstown, Maryland
Zip: 21133-4662
Phone Number: 301-905-2947
Patients can reach Mr. Ayodeji Bamidele Olawale at 267 Grant St, Bridgeport, Connecticut or can call to book an appointment on 203-384-3709.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.