DR. OLALEKAN IFEOLUWA OLAOLU
NPI 1679052450
Psychiatry & Neurology - Forensic Psychiatry in Middletown, CT

Active since August 12, 2018PECOS Enrolled
70 O'BRIEN DRIVE, MIDDLETOWN, CT 06457(860) 262-5428 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2024, Dec 2, 2024, Aug 12, 2018 (3 updates tracked since 2018).

About Dr. Olalekan Ifeoluwa Olaolu NPPES

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

DR. OLALEKAN IFEOLUWA OLAOLU (NPI 1679052450) is an individual forensic psychiatry provider in Middletown, Connecticut, licensed in Connecticut (71769) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeport, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1679052450
Entity TypeIndividualMale
Primary Taxonomy2084F0202X
Provider Legal NameDR. OLALEKAN IFEOLUWA OLAOLU
Location Address70 O'BRIEN DRIVEMiddletown, CT 06457
Mailing Address70 O'brien DriveMiddletown, CT 06457-1805 · (404) 399-9616
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 12, 2018
Last NPPES UpdateDecember 16, 20243 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1679052450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
License✔ Licensed in CT · 71769
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 71769 (CT)
70 O'BRIEN DRIVE, Middletown, CT 06457

Other Names 1

Former Name (1)Olalekan Ifeoluwa Olaifa

Secondary Practice Location 1

Location 1267 Grant StBridgeport, CT 06610-2805 · Phone (203) 384-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olalekan Ifeoluwa Olaolu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496099046
PECOS Enrollment IDI20260416001395
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Olalekan Olaolu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
Counseling
275 NORTH ST
Harrison, NY 10528
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Hospital Yonkers
  • 233 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Psychiatric Hospital
70 O'BRIEN DRIVE
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Psychiatry)
70 O'BRIEN DRIVE
MIDDLETOWN, CT 06457
Psychiatry & Neurology (Psychiatry)
70 O'BRIEN DRIVE
MIDDLETOWN, CT 06457

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 Olalekan Olaolu's NPI number?

The NPI number for Olalekan Olaolu is 1679052450. It was assigned to this individual provider in the NPPES registry on August 12, 2018. The provider is also known as Olalekan Ifeoluwa Olaifa.

Where is Olalekan Olaolu located?

Olalekan Olaolu practices at 70 O'brien Drive, Middletown, CT 06457. The listed phone number is (860) 262-5428.

What is Olalekan Olaolu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Is Olalekan Olaolu enrolled in Medicare?

Yes. Olalekan Olaolu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olalekan Olaolu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olalekan Olaolu reassigns Medicare benefits to 2 organizations: Mill Hill Medical Consultants Inc (New Haven, CT) and St.Vincent' Hospital Westchester Psych (Harrison, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olalekan Olaolu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olalekan Olaolu was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.