DR. TAYO OLUBUNMI OBATUSIN (NPI# 1477727592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477727592 |
| Entity Type | Individual |
| Full Name | DR. TAYO OLUBUNMI OBATUSIN |
| Credential | MD |
| Practice Address |
555 Saint Josephs Blvd Elmira NY 14901-3223 |
| Mailing Address |
722 W Water St Elmira NY 14905-2435 |
| Practice Telephone | 6077377002 |
| Practice Fax Number | 6077371529 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
249360 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
24859 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025559200 | 05 |
| Street Address |
555 SAINT JOSEPHS BLVD |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740256809 | Sydney Welt | Internal Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2006-02-27 |
| 1467092452 | Madison Kathryn Gluck | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3256 | 2020-01-08 |
| 1992345003 | Rachel Bush | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2020-01-07 |
| 1831742816 | Nes Medical Services of New York PC | Emergency Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2019-07-19 |
| 1841759529 | Amanda M Northrop | Occupational Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2019-03-13 |
| 1245708056 | Emily Pauline Clark | Physical Medicine & Rehabilitation | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-11-09 |
| 1821563347 | Tarah Marie Babcock | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-10-11 |
| 1992289888 | Sarah Jessica Osburn | Physical Therapy Assistant | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-09-18 |
| 1770069536 | St. Joseph's Hospital | Clinic/Center | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-07-16 |
| 1942707583 | Andrey Takhtovich | Student in an Organized Health Care Education/Training Program | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346493780 | Herman Berliss | Psychiatry & Neurology | 22 Graycliff Dr, Elmira, NY 14903-7971 | 2008-10-29 |
| 1033315106 | April Laverne Roberts | Psychiatry & Neurology | 100 N Main Street, Suite 200, Elmira, NY 14901 | 2007-06-25 |
| 1194928911 | Tinu Addams Medical PC | Psychiatry & Neurology | 311 B W Water Street, Elmira, NY 14901-2914 | 2007-06-08 |
| 1598805657 | Alec J Whyte | Psychiatry & Neurology | 959 W Water St, Elmira, NY 14905-2316 | 2007-02-07 |
| 1053342576 | Albert K Chen | Psychiatry & Neurology | 361 W Water St, Elmira, NY 14905-2519 | 2006-07-05 |
| 1861915290 | Maria Rita A Macapinlac | Psychiatry & Neurology | 100 Washington St, Elmira, NY 14901-2849 | 2017-07-18 |
| 1174937288 | Hannah Rose Bushnell | Psychiatry & Neurology | 600 Roe Ave, Elmira, NY 14905-1629 | 2014-06-17 |
| 1467884932 | Razaullah Khan | Psychiatry & Neurology | 100 Washington St, Elmira, NY 14901-2849 | 2013-08-06 |
| 1982995726 | Melihat Fidan Nowak | Psychiatry & Neurology | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2011-04-27 |
| 1104089390 | Ejiro Vivian Agboro-idahosa | Psychiatry & Neurology | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2008-07-08 |
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| 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.