MEDICARE: EMET INTEGRATIVE PSYCHIATRIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1366373177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMET INTEGRATIVE PSYCHIATRIC

Provider Business Mailing Address
First Line	:	522 W RIVERSIDE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	630-687-3084
Fax Number	:	630-687-3084

Provider Business Practice Location Address
First Line	:	522 W RIVERSIDE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	630-687-3084
Fax Number	:	630-687-3084

Authorized Official
Title or Position	:	CEO
Name	:	OLAYINKA OYAWUSI
Credential	:
Telephone Number	:	630-687-3084

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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