DR. NANCY DESSOURCES ADEGOKE PH.D
NPI 1154503191
Psychologist in New York, NY

Active since December 01, 2007PECOS EnrolledAccepts Medicare Assignment
1430 BROADWAY RM 304, NEW YORK, NY 10018(212) 840-8410 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nancy Dessources Adegoke Ph.d NPPES

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

DR. NANCY DESSOURCES ADEGOKE PH.D (NPI 1154503191) is an individual psychologist in New York, New York, licensed in New York (258864106) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154503191
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NANCY DESSOURCES ADEGOKECredential: PH.D
Location Address1430 BROADWAY RM 304New York, NY 10018-9226
Mailing Address15 Arnold StHicksville, NY 11801-5241 · (516) 974-4247
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 1, 2007
Last NPPES UpdateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1154503191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 258864106
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1430 BROADWAY RM 304, New York, NY 10018

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

Dr. Nancy Dessources Adegoke Ph.d 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 ID3779807003
PECOS Enrollment IDI20201221000028
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
264 services20 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Counseling)
1430 BROADWAY RM 304
NEW YORK, NY 10018

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 Nancy Dessources Adegoke's NPI number?

The NPI number for Nancy Dessources Adegoke is 1154503191. It was assigned to this individual provider in the NPPES registry on December 1, 2007.

Where is Nancy Dessources Adegoke located?

Nancy Dessources Adegoke practices at 1430 Broadway Rm 304, New York, NY 10018. The listed phone number is (212) 840-8410.

What is Nancy Dessources Adegoke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nancy Dessources Adegoke enrolled in Medicare?

Yes. Nancy Dessources Adegoke 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 Nancy Dessources Adegoke was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.