DR. IFETAYO I. OJELADE


Address: 1867 Harvard Ave, College Park, GA 30337-3526
Phone: 4046356021

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 708181433A 05

Office Location

Street Address 1867 HARVARD AVE
City COLLEGE PARK
State GA
Zip Code 30337-3526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689013047 Dawn Monique Robinson-mcdonald Counselor 1867 Harvard Ave, College Park, GA 30337-3526 2013-06-19

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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

Providers in the same taxonomy and state

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
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Competitor

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City COLLEGE PARK
Zip Code 30337

Improve Information

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Dataset Information

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.

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