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

Olusola Segun

Individual provider Psychiatry Physician · NPI 1447692512

Olusola Segun is a Psychiatry in Staten Island, New York. Qualified in 2001, 25 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2013

Practice location Address checks out

145 Wellington Ct Apt 1I
Staten Island, NY 10314-7848
Phone: (301) 651-2379
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence FR0435669345 (NY)

Record details

NPI number1447692512
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2013
Last updated in NPPESOctober 27, 2015

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Staten Island