Olayemi Ebenezer Olajuyigbe, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R211046 Issued in MD

Practice address

7720 Patuxent Oak CT
Elkridge, MD 21075-6172

Phone

(443) 538-6352

Fax

(443) 820-3026

NPI assigned

May 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Interventions, LLCGroup PAC ID 9032426549, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interventions, LLC

  • Professional Counselor
  • Annapolis, MD
  • NPI 1780836544
  Medicare reassignment Care Compare group NPD
• Faith Health Care Center

  • Health Service Clinic/Center
  • Catonsville, MD
  • NPI 1487935417
  Medicare reassignment NPD
• Restoration Wellness Center Inc

  • Community Health Clinic/Center
  • Catonsville, MD
  • NPI 1649900036
  NPD Authorized official
• Debobeth Medical Center

  • Health Service Clinic/Center
  • Baltimore, MD
  • NPI 1043791122
  NPD (past)

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1073170205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 PATUXENT OAK CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756172",
            "telephone_number": "443-538-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 PATUXENT OAK CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756172",
            "telephone_number": "443-538-6352",
            "fax_number": "443-820-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAJUYIGBE",
        "first_name": "OLAYEMI",
        "middle_name": "EBENEZER",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R211046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest, P.a.
• Nsima Stephanie Ogar
• Sarah K Oh, RPH
• Michelle Ohonba
• Ijeoma Victoria Okonkwo
• Taiwo Olasehinde
• Olive Tree Nutrition LLC
• Abolanle M Oloyede
• Om Virisaar Pharmacy Inc
• Om Virissar Pharmacy, Inc

• Psychiatric/Mental Health Nurse Practitioner in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.