DR. IFETAYO I. OJELADE (NPI# 1639263171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639263171 |
Entity Type | Individual |
Full Name | DR. IFETAYO I. OJELADE |
Other Name | DR. IYAJOKE I. OJELADE |
Credential | PH.D. |
Practice Address |
1867 Harvard Ave College Park GA 30337-3526 |
Mailing Address |
505 Angler Ct Sw Atlanta GA 30331-8058 |
Practice Telephone | 4046356021 |
Practice Fax Number | 4046017347 |
Mailing Telephone | 4046356021 |
Mailing Fax Number | 4046017347 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2013-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
LPC004532 | GA | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY003437 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 708181433A | 05 |
Street Address |
1867 HARVARD AVE |
City | COLLEGE PARK |
State | GA |
Zip Code | 30337-3526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689013047 | Dawn Monique Robinson-mcdonald | Counselor | 1867 Harvard Ave, College Park, GA 30337-3526 | 2013-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
Find all providers in zip 30337 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295345734 | John Myers | Psychologist | 5714 Old National Hwy, College Park, GA 30349-3836 | 2020-08-07 |
1417475047 | Theodore Pickett Jr. | Psychologist | 4281 Chapel Lane, College Park, MD 20742 | 2017-09-04 |
1003296617 | Myra Waters | Psychologist | 9658 Baltimore Ave, #240, College Park, MD 20740-1346 | 2015-06-09 |
1003224494 | Noah Collins | Psychologist | University of Maryland Counseling Ctr, Shoemaker Building - Room 1133, College Park, MD 20742-0001 | 2014-07-29 |
1578789038 | Sharon Kirkland-gordon | Psychologist | Shoemaker Building, College Park, MD 20742-8111 | 2007-04-17 |
1598237166 | Joy Stephens | Psychologist | 9658 Baltimore Ave, College Park, MD 20740-1346 | 2018-12-20 |
1770603441 | Linda Elaine Bessett | Psychologist | 7307 Baltimore Ave, Suite 208, College Park, MD 20740-3231 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051573 | Latoya Crane | Psychologist | 260 Rock Hill Dr, Fayetteville, GA 30215-4953 | 2020-10-20 |
1871100024 | Life Skills Community Center Inc | Psychologist | 2440 Sandy Plains Rd Ste 300, Marietta, GA 30066-7217 | 2020-09-30 |
1275140386 | The Worth, Wisdom, and Wellness Center LLC | Psychologist | 1201 W Peachtree St Nw Ste 2330, Atlanta, GA 30309-3453 | 2020-09-23 |
1487268744 | Dontavious Ford | Psychologist | 107 Childs St, Stockbridge, GA 30281-3722 | 2020-09-03 |
1740893601 | Georgia Mountain Psychological Associates Inc. | Psychologist | 851 Highway 441 S Ste 105, Clayton, GA 30525-5424 | 2020-08-28 |
1376161661 | Bright Minds Psychological Services, Inc | Psychologist | 526 Forest Pkwy Ste C, Forest Park, GA 30297-6140 | 2020-07-13 |
1760006035 | Healthy Connections Counseling | Psychologist | 4434 Columbia Rd Ste 202, Martinez, GA 30907-4271 | 2020-06-03 |
1578183034 | Stephen Clay Marks | Psychologist | 216 Dogwood Dr, Ellijay, GA 30540-5527 | 2020-04-24 |
1376173658 | Marcuetta D. Sims | Psychologist | 2436 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2020-01-25 |
1649819749 | Samelhia Marie Thompson | Psychologist | 511 Rowland Rd, Stone Mountain, GA 30083-4540 | 2020-01-06 |
Find all providers with the same taxonomy |
City | COLLEGE PARK |
Zip Code | 30337 |
Please comment or provide details below to improve the information on DR. IFETAYO I. OJELADE.
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.