Olayinka Michael Johnson, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

D0055180 Issued in MD

Practice address

809 N Hammonds Ferry Rd
Suite C
Linthicum, MD 21090-1301

Phone

(410) 789-2500

Fax

(410) 789-2501

NPI assigned

May 20, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Kinara Health and Home Care Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1255857405
  Medicare reassignment NPD
• Complete Healthcare, LLC

  • Pediatrics Physician
  • Linthicum, MD
  • NPI 1497955967
  Medicare reassignment
• Affiliated Sante Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
  • NPI 1083720569
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1093923229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 HELEN DORSEY WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455046",
            "telephone_number": "410-964-5711",
            "fax_number": "410-964-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N HAMMONDS FERRY RD",
            "address_2": "SUITE C",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901301",
            "telephone_number": "410-789-2500",
            "fax_number": "410-789-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLAYINKA",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MD",
            "license": "D0055180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014146100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Hart-Hess, LCSW-C
• House of Empathy Home Health Care
• Amanda Iturriaga, M.S.
• Jason Paul Elliott DDS LLC
• Ettaly Franke Jobes, MD
• Omolola O Johnson, M.D.
• K Reed Gehring LCSW-C LLC
• Sachi Nishio Kanzaki, LGP
• Helena Kim, PHARM.D.
• Christina J Kirby, LCPC

• Geriatric Psychiatry Physician in Linthicum, MD
• Providers in Linthicum, MD by specialty
• Geriatric Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.