Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ademola Fawole

Individual provider Psychologist · NPI 1871080358

Dr. Ademola Fawole is a Clinical Psychologist in Hershey, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Nj Behavioral Health Services PC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
13
Licensed in
PA, WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

513 W Chocolate Ave Ste 100
Hershey, PA 17033
Phone: (717) 810-1974
Fax: (717) 704-8476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1427c Province Ter, Menasha, WI 54952-7003 — (920) 738-9999

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS018734 (PA)
Psychologist Taxonomy 103T00000X · Licence 3565-57 (WI)

Record details

NPI number1871080358
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESAugust 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Nj Behavioral Health Services Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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