OLUSOLA SEGUN (NPI# 1447692512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447692512 |
| Entity Type | Individual |
| Full Name | OLUSOLA SEGUN |
| Practice Address |
145 Wellington Ct Apt 1i Staten Island NY 10314-7848 |
| Practice Telephone | 3016512379 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
FR0435669345 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
145 WELLINGTON CT APT 1I |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-7848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417241522 | Antonio Guevara Cabel Jr. | Psychiatry & Neurology | 116 Norwalk Ave, Staten Island, NY 10314-5655 | 2011-06-06 |
| 1801917786 | Aruna S Agni | Psychiatry & Neurology | 657 Castleton Ave, Staten Island, NY 10301-2028 | 2007-04-02 |
| 1699809731 | Valery Tolchinsky | Psychiatry & Neurology | 152 Alex Cir, Staten Island, NY 10305-4766 | 2007-03-14 |
| 1467594960 | Trinidad P Palmiery | Psychiatry & Neurology | Koicheff Clinic 2324 Forest Ave, Staten Island, NY 10303 | 2007-02-12 |
| 1790825099 | Dorotht Ortiz Tulla | Psychiatry & Neurology | 29 Brielle Ave, Staten Island, NY 10314-6423 | 2007-02-07 |
| 1134272495 | Robert Gabriel Stern | Psychiatry & Neurology | 376 Seguine Ave, Staten Island University Hospital, Staten Island, NY 10309-3942 | 2007-01-19 |
| 1346307188 | Lucy Rea Sarkis | Psychiatry & Neurology | 60 Romer Road, Staten Island, NY 10304-1227 | 2007-01-02 |
| 1699840314 | Waqar Ahmed Siddiqui | Psychiatry & Neurology | 2371 Victory Blvd, Staten Island, NY 10314 | 2006-11-21 |
| 1144307174 | Claire William Attia | Psychiatry & Neurology | 311 Park St, Staten Island, NY 10306-1813 | 2006-11-01 |
| 1265528129 | George Tawfik | Psychiatry & Neurology | 427 Nome Ave, Staten Island, Staten Island, NY 10314-6094 | 2006-10-05 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.