NPIMap

Organization Active NPI

Outpatient Mental Health Clinic

Doing business as Oasis health ventures LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor Mill, MD
National Provider Identifier
1093334203
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OUTPATIENT MENTAL HEALTH CLINIC
Doing business as
Oasis health ventures LLC
Practice address
2500 N Rolling Rd Ste 100
Windsor Mill, MD 21244-1999
Phone
(443) 854-5899
Fax
(443) 272-2664
NPI assigned
Apr 9, 2020
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
OASIS HEALTH VENTURES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Olufemi Olawale, NURSE PRACTITIONERNPI 1497272777
Title
Program Director
Phone
(443) 854-5899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2500 N Rolling Rd Ste 100
Windsor Mill, MD 21244-1999

Mailing address

2500 N Rolling Rd Ste 100
Windsor Mill, MD 21244-1999
Phone (443) 854-5899

Other names 1

  • Oasis health ventures LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oasis Health Ventures6 organizations share this tax ID, including this one
Part of
Oasis Health Ventures

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1093334203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N ROLLING RD STE 100",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441999",
            "telephone_number": "443-854-5899",
            "fax_number": "443-272-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N ROLLING RD STE 100",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441999",
            "telephone_number": "443-854-5899",
            "fax_number": "443-272-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT MENTAL HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OASIS HEALTH VENTURES LLC",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "OLAWALE",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-854-5899",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis health ventures LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.