Individual provider Active NPI

Linda Hassan Allibalogun, DNP, PMHNP, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1255689717
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R175115 Issued in MD
Practice address
8890 McDonogh Rd
Suite 208
Owings Mills, MD 21117-5397
Phone
(410) 559-6121
Fax
(916) 581-8678
NPI assigned
Aug 15, 2012
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R175115 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R175115 MD Primary

Addresses

Primary practice location

8890 McDonogh Rd
Suite 208
Owings Mills, MD 21117-5397

Mailing address

8890 McDonogh Road
Suite 208
Owings Mills, MD 21117-5397
Phone (410) 559-6121

Other practice location 1

1001 York Rd
Towson, MD 21204-2516
Phone (410) 823-3900

Other identifiers 1

IdentifierTypeStateIssuer
602310000MedicaidMD

Other names 1

  • Miss Linda F Hassan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130214000015 MD Practitioner - Nurse Practitioner 7315191657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Wellness CenterGroup PAC ID 8022487156, 9 clinicians

Practice addresses (Care Compare)

8890 McDonogh Rd
Suite 301
Owings Mills, MD 21117-5397
Phone (410) 559-6121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Wellness Behavioral Health Center Inc Current Accepting new patients
Sound Wellness Center Past Accepting new patients
Sound Wellness Center Past Accepting new patients

Locations

8890 McDonogh Rd
Ste 208
Owings Mills, MD 21117
Phone (410) 559-6121

8890 McDonogh Rd
Ste 301
Owings Mills, MD 21117
Phone (410) 559-6121

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1255689717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 MCDONOGH ROAD",
            "address_2": "SUITE 208",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175397",
            "telephone_number": "410-559-6121",
            "fax_number": "916-581-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 MCDONOGH RD",
            "address_2": "SUITE 208",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175397",
            "telephone_number": "410-559-6121",
            "fax_number": "916-581-8678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 York Rd",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042516",
            "country_code": "US",
            "telephone_number": "410-823-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLIBALOGUN",
        "first_name": "LINDA",
        "middle_name": "HASSAN",
        "credential": "DNP, PMHNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2024-10-31",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R175115",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R175115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602310000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HASSAN",
            "middle_name": "F",
            "prefix": "MISS",
            "credential": "FNP-BC, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.