Psygenic Health Inc
NPI 1356152169ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Homewood, IL
Nurse Practitioner, Psych/Mental Health in Homewood, Illinois, registered in NPPES in January 2025. The authorized official on file is Theresa Olusola, PMHNP, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356152169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2025 |
| Last updated in NPPES | Aug 21, 2025 |
| Certified by provider | Aug 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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