TEMITOPE SHODEINDE (PMHNP) – Behavior Technician, NPI 1326547613
Behavior Technician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for TEMITOPE SHODEINDE (PMHNP)
Trimana, 21600, Oxnard Street, Warner Center, Los Angeles, Los Angeles County, California, 91367, United States
WOODLAND HILLS, CA 913674976
Phone: (818) 345-2345
Type: Mailing
1276 Fulton Ave
Bronx, NY 104563467
Phone: (718) 992-7669
Type: Location
1276 FULTON AVE
BRONX, NY 104563467
Phone: (718) 992-7669
Type: Mailing
Center for Autism & Related Disorders, 126, Library Lane, Mamaroneck, Town of Mamaroneck, New York, 10543, United States
MAMARONECK, NY 105433608
Phone: (914) 670-1156
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251008001496 | I | Nurse Practitioner | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NJ | |
| - | NY | |
| Ophthalmology, Pathology | NY | |
| Emergency Medicine | CA | |
| - | NJ | |
| A N E S T H E S I O L O G Y | NY | |
| P S Y C H I A T R Y | NY | |
| - | NY | |
| - | NY | |
| - | NY |
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