MEDICARE: ABIDEMI OLUSANYA PSYCH-NP

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	1062198	TX

General Provider Information

NPI Number	:	1528703097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIDEMI OLUSANYA PSYCH-NP

Provider Business Mailing Address
First Line	:	2626 COLE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1083
Country	:	US
Telephone Number	:	469-613-2110
Fax Number	:	469-809-7865

Provider Business Practice Location Address
First Line	:	2626 COLE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1083
Country	:	US
Telephone Number	:	469-613-2110
Fax Number	:	469-809-7865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	07/11/2024

Similar Medicare Providers

1942126149 — DALLAS PSYCHIATRY GROUP PLLC
Practice Location Address:

2626 COLE AVE # 373
DALLAS, TX
75204-1083

Practice Phone: 469-246-2333
Practice Fax:

1164057287 — MRS. DANIELLE ANTAKI COY LCSW
Practice Location Address:

3433 W DALLAS ST APT 1083
HOUSTON, TX
77019-3840

Practice Phone: 281-928-5131
Practice Fax:

1104752831 — INDEPENDENT COMPLIANCE CONSULTANTS LLC
Practice Location Address:

2808 COLE AVE
DALLAS, TX
75204-1030

Practice Phone: 855-340-0838
Practice Fax:

1144146713 — AARON REICHLIN MD IN-NETWORK, PLLC
Practice Location Address:

4040 N CENTRAL EXPY
DALLAS, TX
75204-3158

Practice Phone: 312-626-4394
Practice Fax: 312-748-8794

1043145808 — JARED HULLABY
Practice Location Address:

3133 E LEMMON AVE
DALLAS, TX
75204-1411

Practice Phone: 214-599-2108
Practice Fax:

1588599690 — HEAR MY CRY WELLNESS CENTER LLC
Practice Location Address:

2904 FLOYD ST STE F
DALLAS, TX
75204-5910

Practice Phone: 214-417-2655
Practice Fax:

Directions to “ ABIDEMI OLUSANYA PSYCH-NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.