Individual provider Active NPI

Olubunmi Salami, DR

  • Psychiatric/Mental Health Nurse Practitioner
  • College Park, MD
National Provider Identifier
1083087357
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R208317 Issued in MD
Practice address
4920 Niagara Rd
Suite 102
College Park, MD 20740-1110
Phone
(301) 637-7078
Fax
(301) 345-9200
NPI assigned
Nov 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X R3823 MD
Registered Nurse 163W00000X R208317 MD
Administrator Registered Nurse 163WA2000X R208317 MD
Critical Care Medicine Registered Nurse 163WC0200X R208317 MD
Home Health Registered Nurse 163WH0200X R208317 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R208317 MD Primary

Addresses

Primary practice location

4920 Niagara Rd
Suite 102
College Park, MD 20740-1110

Mailing address

4920 Niagara Rd
Suite 102
College Park, MD 20740-1110
Phone (301) 637-7078

Other names 1

  • Dr. Bunmi Salami Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20241122000473 DC Practitioner - Nurse Practitioner 3173058500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

College Park, MD 20740
Phone (301) 547-9369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R3823MDMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Wellness Center Psychiatric/Mental Health CurrentSince Sep 29, 2024 Accepting new patients
Advent Home Health Care Solutions LLC Current Accepting new patients
Mindset Wellness Center Psychiatric/Mental Health Current Accepting new patients

Locations

4920 Niagara Rd
Ste 102
College Park, MD 20740
Phone (301) 547-9369

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1446940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1083087357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD",
            "address_2": "SUITE 102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401110",
            "telephone_number": "301-637-7078",
            "fax_number": "301-345-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD",
            "address_2": "SUITE 102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401110",
            "telephone_number": "301-637-7078",
            "fax_number": "301-345-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMI",
        "first_name": "OLUBUNMI",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-08",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MD",
            "license": "R3823",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R208317",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MD",
            "license": "R208317",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "R208317",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R208317",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R208317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUNMI",
            "last_name": "SALAMI",
            "prefix": "DR.",
            "credential": "DR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

Verify at the official NPI Registry.