TIWATOPE BANKALE PHD
NPI 1619849817
Psychologist - Clinical Child & Adolescent in Desoto, TX

Active since September 18, 2025PECOS Enrolled
534 E PLEASANT RUN RD, DESOTO, TX 75115(469) 488-5000(469) 990-5333 Get Directions Write a Review

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

About Tiwatope Bankale Phd NPPES

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

TIWATOPE BANKALE PHD (NPI 1619849817) is an individual clinical child & adolescent provider in Desoto, Texas, licensed in Texas (40725) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619849817
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameTIWATOPE BANKALECredential: PHD
Location Address534 E PLEASANT RUN RDDesoto, TX 75115-4002
Mailing Address534 E Pleasant Run RdDesoto, TX 75115-4002 · (469) 488-5000 · Fax (469) 990-5333
Fax(469) 990-5333
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 18, 2025
Last NPPES UpdateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1619849817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in TX · 40725
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 40725 (TX)
534 E PLEASANT RUN RD, Desoto, TX 75115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiwatope Bankale Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335637164
PECOS Enrollment IDI20251023000182
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.

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
534 E PLEASANT RUN RD
DESOTO, TX 75115

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 Tiwatope Bankale's NPI number?

The NPI number for Tiwatope Bankale is 1619849817. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Tiwatope Bankale located?

Tiwatope Bankale practices at 534 E Pleasant Run Rd, Desoto, TX 75115. The listed phone number is (469) 488-5000.

What is Tiwatope Bankale's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Tiwatope Bankale enrolled in Medicare?

Yes. Tiwatope Bankale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiwatope Bankale 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.