Israel Ogunsola

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

227669 Issued in MD

Practice address

5136 Belair Rd
Baltimore, MD 21206-5146

Phone

(240) 373-7355

Fax

(808) 515-5506

NPI assigned

Oct 18, 2022

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

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Resonance Behavioral Health ServicesGroup PAC ID 5991194813, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Proactive Healthcare Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glenn Dale, MD
  • NPI 1982459335

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Resonance Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1821765926

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Proactive Healthcare Services LLC

  • Primary Care Clinic/Center
  • Glenn Dale, MD
  • NPI 1124981592
  NPD

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1164148367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065146",
            "telephone_number": "240-373-7355",
            "fax_number": "808-515-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6806 Holabird Ave",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212221784",
            "country_code": "US",
            "telephone_number": "410-779-9175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNSOLA",
        "first_name": "ISRAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "227669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilikis Ogunniyi, CRNP
• Afolabi Ogunnusi
• Ajibola Ogunnusi, O.D.
• Ijeoma Dorothy Ogunsanya, MD
• Oluwakemi Ogunseye
• Aderonke Ogunsua
• Abayomi Oluwaseun Oguntoyinbo
• Serena Michelle Ogunwole, M.D.
• Oluwapelumi Ogunyemi, CRNA, DNP
• Johnson Ogunyoye, PT

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 May 20, 2025; 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.