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

Oyewole G Ogunnaike

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1497416424

Oyewole G Ogunnaike is a Nurse Practitioner in Groton, Connecticut. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2022

Practice location Address checks out

1057 Poquonnock Rd # 6
Groton, CT 06340-6630
Phone: (860) 984-4552
Fax: (844) 321-6166
Show map & directions

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

Additional practice locations (1)

  • 640 George Washington Hyw, Building B, Lincoln, RI 02865 — (860) 984-4552

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1063029 (TX)

Record details

NPI number1497416424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 3, 2022
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address125 Eugene Oneill Dr, New London, CT 06320-6410

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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