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

Theresa Olusola, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1447943154

Theresa Olusola, PMHNP is a Nurse Practitioner in Homewood, Illinois. Qualified in 2022, 4 years ago. Practices with Fabian Carbonell MD SC, a 13-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

920 175th St Ste 6
Homewood, IL 60430-2077
Phone: (708) 715-7440
Fax: (708) 365-2949
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.027525 (IL)

Record details

NPI number1447943154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMay 30, 2023
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fabian Carbonell Md Sc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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