Healthcare Provider Details

I. General information

NPI: 1629797170
Provider Name (Legal Business Name): OASIS HEALTH AND WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 HIGHLAND AVE
NEEDHAM MA
02494-3025
US

IV. Provider business mailing address

4A CRAGMORE RD
NEWTON MA
02464-1009
US

V. Phone/Fax

Practice location:
  • Phone: 832-860-1574
  • Fax:
Mailing address:
  • Phone: 832-860-1574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ADEKEMI VICTORIA ADELEYE
Title or Position: PMHNP
Credential: DNP
Phone: 832-860-1574