OLOLADE ODEKA PMHNP-BC
NPI 1912766304
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since March 18, 2024
1885 HYLAN BLVD # 1117, STATEN ISLAND, NY 10305(347) 349-2800 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ololade Odeka Pmhnp-bc NPPES

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

OLOLADE ODEKA PMHNP-BC (NPI 1912766304) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (405524) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1912766304
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLOLADE ODEKACredential: PMHNP-BC
Location Address1885 HYLAN BLVD # 1117Staten Island, NY 10305-2110
Mailing Address1885 Hylan Blvd # 1117Staten Island, NY 10305-2110
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
NPI 1912766304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 405524
1885 HYLAN BLVD # 1117, Staten Island, NY 10305

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 Ololade Odeka's NPI number?

The NPI number for Ololade Odeka is 1912766304. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Ololade Odeka located?

Ololade Odeka practices at 1885 Hylan Blvd # 1117, Staten Island, NY 10305. The listed phone number is (347) 349-2800.

What is Ololade Odeka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ololade Odeka was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.