Individual provider Active NPI

Olubukola Ameen

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1346519956
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R238740 Issued in MD
Practice address
218 E Lexington St
Baltimore, MD 21202-3532
Phone
(443) 869-6490
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R238740 MD Primary

Addresses

Primary practice location

218 E Lexington St
Baltimore, MD 21202-3532

Mailing address

218 E Lexington St
Baltimore, MD 21202-3532
Phone (443) 869-6490

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
I20260130003462 MD Practitioner - Nurse Practitioner 1254819246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prosper Health and Behavioral Care ServicesGroup PAC ID 1951764471, 5 clinicians

Practice addresses (Care Compare)

2925 Lord Baltimore Dr
Suite 301
Windsor Mill, MD 21244-2653
Phone (443) 869-6490

3934 Red Deer Cir
Randallstown, MD 21133-2047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R238740MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Beyond Age Health Services LLC CurrentSince May 11, 2026 Accepting new patients
Prosper Health and Behavioral Care Services CurrentSince Jan 1, 2026 Accepting new patients
Prosper Health and Behavioral Care Services CurrentSince Jan 1, 2026 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1346519956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E LEXINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023532",
            "telephone_number": "443-869-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E LEXINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023532",
            "telephone_number": "443-869-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEEN",
        "first_name": "OLUBUKOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R238740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.