CHARMAINE ADEGEYE NPI 1003393695

NPI Information

  • NPI: 1003393695
  • Provider Name: CHARMAINE ADEGEYE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25240 LAHSER RD STE 2
    SOUTHFIELD, MI
    ZIP 48033
  • Phone: (248) 564-1367

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NPI Details

Charmaine Adegeye is a psychiatric/mental health nurse practitioner in Southfield, MI with 4 years of experience. Charmaine Adegeye NPI is 1003393695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25240 LAHSER RD STE 2
SOUTHFIELD, MI
ZIP 48033-751
Phone: (248) 564-1367
Fax: (734) 725-6746

The NPI 1003393695 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2018 and was last updated on 11/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704240600MICHIGANNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health4704240600MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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