ADEOLA ADELAYO (NPI# 1205996907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205996907 |
| Entity Type | Individual |
| Full Name | ADEOLA ADELAYO |
| Other Name | ADEOLA ODULATE |
| Credential | M.D. |
| Practice Address |
625 N Plaza Dr Apache Junction AZ 85120-5501 |
| Mailing Address |
Po Box 3160 Apache Junction AZ 85117-4115 |
| Practice Telephone | 4809830065 |
| Practice Fax Number | 4806714541 |
| Mailing Telephone | 4809830065 |
| Mailing Fax Number | 4806714541 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036-112180 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01064165A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE NUMBER | 036-112180 | 01 |
| Street Address |
625 N PLAZA DR |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85120-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518940832 | Fred Barnett Lipovitch | Psychiatry & Neurology | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2005-11-21 |
| 1407456668 | Mitchell Garrett Brown | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5502 | 2020-10-27 |
| 1487263570 | Danielle Fedor | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2020-07-24 |
| 1891316907 | Lori A Smith | Counselor | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2020-04-29 |
| 1093281883 | Daed Lizbeth Ayala Penaloza I | Social Worker | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-10-18 |
| 1477046902 | Kyle Bart Dewey | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-06-09 |
| 1255820346 | Camay S Rooney | Nurse Practitioner | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2018-05-04 |
| 1043761067 | Molly Elizabeth Haak | Social Worker | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2016-10-14 |
| 1750735163 | Jackie Ollis | Registered Nurse | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2016-04-21 |
| 1851762074 | Smmhc, Inc | Community/Behavioral Health | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2015-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709508 | Azmo Medical Services, LLC | General Practice | 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 | 2019-09-19 |
| 1902359771 | Fawn Boonstra | Dietitian, Registered | 99 S. Gold Dr. Suite 5, Goldfield Cardiovascular Institute, Apache Junction, AZ 85120 | 2016-07-28 |
| 1407104110 | Catherine Pagayonan Araza | Pharmacist | 11545 E Apache Trail, Apache Junction, AZ 85120 | 2012-08-28 |
| 1871868992 | Gilbert Unified School Dist | Local Education Agency (LEA) | 1370 W Montebello Ave, Apache Junction, AZ 85120 | 2012-03-22 |
| 1275758971 | Sharon L Paul | Psychiatry & Neurology | 2066 W. Apache Trail, Suite 112, Apache Junction, AZ 85120 | 2007-04-16 |
| 1649397696 | Charles A. Garon | Social Worker | 625 N. Plaza Dr, Apache Junction, AZ 85120 | 2007-03-23 |
| 1942239900 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3185 W Apache Trl, Apache Junction, AZ 85120 | 2006-07-02 |
| 1144617812 | Katelyn Geyer | Family Medicine | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120 | 2015-04-21 |
| 1720022346 | Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | 10241 E Apache Trl, Apache Junction, AZ 85120-3203 | 2006-06-15 |
| 1710075544 | Bashas Inc | Pharmacy | 10715 E Apache Trl, Apache Junction, AZ 85120-3307 | 2006-10-10 |
| Find all providers in zip 85120 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982788899 | Arthur Y Chou | Psychiatry & Neurology | 625 N Plaza Dr, Apache Junction, AZ 85120 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1083099170 | Lois G Mclean | Psychiatry & Neurology | 77 Old Highway 188, Unit 130, Tonto Basin, AZ 85553-9996 | 2015-07-30 |
| 1780070805 | Carolyn Powers Wiersma | Psychiatry & Neurology | Us Highway 191 & Hospital Road, Chinle, AZ 86503 | 2015-04-15 |
| 1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
| 1700164399 | Ricardo Angelo Manganaro | Psychiatry & Neurology | 5801 S Rural Rd, Tempe, AZ 85283-2901 | 2011-07-30 |
| 1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
| 1306016258 | Andrew T. Haber | Psychiatry & Neurology | 5930 E Stella Ln, Paradise Valley, AZ 85253-4276 | 2008-03-06 |
| 1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
| 1174749535 | John I. Maurer | Psychiatry & Neurology | Po Drawer Ph, Chinle, AZ 86503 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
| City | APACHE JUNCTION |
| Zip Code | 85120 |
Please comment or provide details below to improve the information on ADEOLA ADELAYO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.