NPIMap

Organization Active NPI

Bayside Behavioral Health Clinic of

  • Psychiatry Physician
  • Annapolis, MD
National Provider Identifier
1215093786
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BAYSIDE BEHAVIORAL HEALTH CLINIC OF
Practice address
2444 Solomons Island Rd Ste 205
Annapolis, MD 21401-3723
Phone
(410) 292-4559
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Dr. Adeleke A Ogunmefun, M.D.
Title
Managing Member
Phone
(410) 292-4559

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X
Geriatric Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0805X

Addresses

Primary practice location

2444 Solomons Island Rd Ste 205
Annapolis, MD 21401-3723

Mailing address

PO Box 6250
Ellicott City, MD 21042-0250
Phone (410) 292-4559

National Provider Directory

National Provider Directory

Locations

139 Old Solomons Island Rd
Ste A
Annapolis, MD 21401
Phone (410) 266-1600

2568A Riva Rd
Ste 302
Annapolis, MD 21401
Phone (410) 216-1600

2444 Solomons Island Rd
Ste 205
Annapolis, MD 21401
Phone (410) 292-4559

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1215093786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6250",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210420250",
            "telephone_number": "410-292-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 SOLOMONS ISLAND RD STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013723",
            "telephone_number": "410-292-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE BEHAVIORAL HEALTH CLINIC OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "OGUNMEFUN",
        "authorized_official_first_name": "ADELEKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-292-4559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.