OLUSHOLA ADEWUMI PSYD
NPI 1144936824
Psychologist - Clinical in Fairburn, GA

Q: What is Olushola Adewumi's NPI number?

The NPI number for Olushola Adewumi is 1144936824. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Q: What is Olushola Adewumi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Olushola Adewumi was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2023PECOS EnrolledAccepts Medicare Assignment

5613 OAKLEY INDUSTRIAL BLVD APT 7308, FAIRBURN, GA 30213(646) 327-0118 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2024, Jan 26, 2023 (2 updates tracked since 2023).

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About Olushola Adewumi Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUSHOLA ADEWUMI PSYD (NPI 1144936824) is an individual clinical provider in Fairburn, Georgia, licensed in Maryland (7266) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144936824

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameOLUSHOLA ADEWUMICredential: PSYD

Location Address5613 OAKLEY INDUSTRIAL BLVD APT 7308Fairburn, GA 30213-4553

Mailing Address5613 Oakley Industrial Blvd Apt 7308Fairburn, GA 30213-4553 · (646) 327-0118

Phone(646) 327-0118

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 26, 2023

Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1144936824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MD · 7266✔ Licensed in VA · 810008745

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5613 OAKLEY INDUSTRIAL BLVD APT 7308, Fairburn, GA 30213

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olushola Adewumi Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133657828

PECOS Enrollment IDI20250108003314

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olushola Adewumi's NPI number?

The NPI number for Olushola Adewumi is 1144936824. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Olushola Adewumi located?

Olushola Adewumi practices at 5613 Oakley Industrial Blvd Apt 7308, Fairburn, GA 30213. The listed phone number is (646) 327-0118.

What is Olushola Adewumi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Olushola Adewumi enrolled in Medicare?

Yes. Olushola Adewumi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Olushola Adewumi was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.