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

Glen Ehicheoya Oriaifo, MD

Individual provider Psychologist · NPI 1104271618

Glen Ehicheoya Oriaifo, MD is a Psychiatry in Vincennes, Indiana. Qualified in 2015, 11 years ago. Practices with Good Samaritan Hospital, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

515 Bayou St
Vincennes, IN 47591-1034
Phone: (812) 886-6800
Fax: (812) 886-6809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 707 N Michigan St Ste 400, South Bend, IN 46601 — (574) 647-8470
  • 1906 Belleview Ave, Roanoke, VA 24014 — (540) 981-7000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 01083103A (IN)
Psychologist Taxonomy 103T00000X · Licence 01083103A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104271618
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2016
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Good Samaritan Hospital — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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