Organization Active NPI

Nimel TMS & Spravato Clinic Inc

  • Psychiatry Physician
  • Glen Burnie, MD
National Provider Identifier
1073470068
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NIMEL TMS & SPRAVATO CLINIC INC
Practice address
216 Crain Hwy N Ste 102
Glen Burnie, MD 21061-3086
Phone
(301) 272-1558
NPI assigned
Jan 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Mosunmola Lake
Title
Director
Phone
(301) 272-1558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

216 Crain Hwy N Ste 102
Glen Burnie, MD 21061-3086

Mailing address

10801 Green Ash LN
Beltsville, MD 20705-3851
Phone (301) 272-1558

Other practice location 1

1305 S Division St Ste 11
Salisbury, MD 21804-6971
Phone (301) 272-1558

National Provider Directory

National Provider Directory
Tax ID family
Nimel TMS Spravato Clinic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1305 S Division St
Ste 11
Salisbury, MD 21804
Phone (301) 272-1558

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1073470068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 GREEN ASH LN",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053851",
            "telephone_number": "301-272-1558",
            "fax_number": "301-272-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CRAIN HWY N STE 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613086",
            "telephone_number": "301-272-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 S Division St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218046971",
            "country_code": "US",
            "telephone_number": "301-272-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIMEL TMS & SPRAVATO CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "MOSUNMOLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-272-1558"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.