Provider Demographics
NPI:1962456178
Name:OYEJIDE, CATHERINE OYENIKE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:OYENIKE
Last Name:OYEJIDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:OYENIKE
Other - Last Name:AWODOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:99 BEAUVOIR AVE
Mailing Address - Street 2:DEPT OF PSYCHIATRY OVERLOOK HOSPITAL
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3533
Mailing Address - Country:US
Mailing Address - Phone:949-739-6406
Mailing Address - Fax:
Practice Address - Street 1:99 BEAUVOIR AVE
Practice Address - Street 2:DEPT OF PSYCHIATRY OVERLOOK HOSPITAL
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3533
Practice Address - Country:US
Practice Address - Phone:949-735-6406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA729142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH22980Medicare UPIN