Olabimpe Olojo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R203610 Issued in MD

Practice address

4601 Forbes Blvd Ste 100
Lanham, MD 20706-4877

Phone

(301) 306-4590

Fax

(301) 306-4591

NPI assigned

Sep 6, 2012

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Penuel Behavioral Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cockeysville, MD
  • NPI 1275231383
  Medicare reassignment NPD Authorized official
• Penuel Behavioral Health Services LLC.

  • Addiction (Substance Use Disorder) Counselor
  • Dunkirk, MD
  • NPI 1144198482
  NPD Authorized official
• Penuel Behavioral Health Services LLC.

  • Rehabilitation Psychologist
  • Baltimore, MD
  • NPI 1801764154
  NPD Authorized official
• Interdynamics, Inc.

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1770135261
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1073862959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "202-621-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 FORBES BLVD STE 100",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064877",
            "telephone_number": "301-306-4590",
            "fax_number": "301-306-4591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6856 Eastern Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200122165",
            "country_code": "US",
            "telephone_number": "202-621-7329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOJO",
        "first_name": "OLABIMPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R203610",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modupe Adekunbi Olaniyan, RN, LCPC
• Oleg B. Shpak, MD, PA
• Loni Wotany Olga
• Oneka Olin
• Damilola Olofinlua
• Adeola Olukoya
• Chinonyerem Olumba
• Elizabeth Ire Olumese
• Pauline Oluwo, NP
• Aisha Mercy Omaghomi

• Psychiatric/Mental Health Nurse Practitioner in Lanham, MD
• Providers in Lanham, 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 Nov 21, 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.