Northmark Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NORTHMARK PSYCHIATRY LLC

Practice address

12860 Stutz CT
Blaine, MN 55449-7497

Phone

(908) 374-8661

Fax

(763) 402-7807

NPI assigned

Aug 14, 2026

Last updated

Aug 14, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Titilope Olaoluwa Omisakin, DNP,APRN,PMHNP-BCNPI 1407536345

Title

Owner

Phone

(908) 374-8661

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Titilope Olaoluwa Omisakin, DNP, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plymouth, MN
  • NPI 1407536345
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1043125289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12860 STUTZ CT",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497497",
            "telephone_number": "908-374-8661",
            "fax_number": "763-402-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12860 STUTZ CT",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497497",
            "telephone_number": "908-374-8661",
            "fax_number": "763-402-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHMARK PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "OMISAKIN",
        "authorized_official_first_name": "TITILOPE",
        "authorized_official_middle_name": "OLAOLUWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-374-8661",
        "authorized_official_credential": "DNP,APRN,PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Blaine, MN
• Providers in Blaine, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.