AYOMIPO IFIDON MD
NPI 1750079893
Psychiatry & Neurology - Child & Adolescent Psychiatry in New Haven, CT
- Individual
- Female
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- PECOS Enrolled
About AYOMIPO IFIDON
This page provides the complete NPI Profile along with additional information for Ayomipo Ifidon, a provider established in New Haven, Connecticut with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1750079893 assigned on April 2023. The practitioner's primary taxonomy code is 2084P0804X with license number 85437 (CT). The provider is registered as an individual and her NPI record was last updated June 2026.
- NPI
- 1750079893 Verify this NPI
- Provider Name
- AYOMIPO IFIDON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 350 GEORGE ST NEW HAVEN, CT 06511
- Location Phone
- (203) 688-4242
- Mailing Address
- 20 YORK ST NEW HAVEN, CT 06510
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-26-2023
- Last Update Date
- 06-30-2026
- Code Navigator
Location Map
Secondary Locations
- 5323 Harry Hines Blvd
Dallas, TX 75390
(214) 648-3111
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 85437
- License State
- CT
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Ayomipo Ifidon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750079893, enumerated as an "individual" on April 26, 2023.
The provider is located at 350 GEORGE ST NEW HAVEN, CT 06511 and the phone number is (203) 688-4242.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.