ABIDEMI A. ADEGBOLA M.D – NPI #1669544169
Psychiatry & Neurology

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.

ABIDEMI ADEGBOLA is a psychiatry & neurologist located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1669544169 to ABIDEMI ADEGBOLA on November 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 5 years ago on Jun 17, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABIDEMI ADEGBOLA below.

NPI Profile for
ABIDEMI A. ADEGBOLA

NPI Number
1669544169
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ABIDEMI A. ADEGBOLA
Credentials
M.D
Primary location
3905 FORD RD
SUITE 6
PHILADELPHIA, PA 19131-2824
Phone: (215) 220-2196 Fax:
1 Other location(s):
206 E Brown St
East Stroudsburg, PA 18301-3006
Phone: (570) 476-3422
Mailing address
834 CHESTNUT ST
PH113
PHILADELPHIA, PA 19107-5127
Phone: (314) 348-4546 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
PA MD446583
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry
NH 13062
207SG0201X
- Medical Genetics / Clinical Genetics (M.D.)
MA 227766

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ABIDEMI ADEGBOLA is affiliated with the following medical group(s):
  • HOSPITAL
    • LEHIGH VALLEY HOSPITAL - POCONO
      206 EAST BROWN STREET
      EAST STROUDSBURG, PA 18301

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