Organization Active NPI

Hakim O. Ogunsanya

  • Adult Mental Health Clinic/Center
  • Laurel, MD
National Provider Identifier
1396170775
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
R184091 Issued in MD
Legal business name
HAKIM O. OGUNSANYA
Practice address
8225 Londonderry CT
Laurel, MD 20707-5626
Phone
(301) 362-1117
NPI assigned
Sep 4, 2013
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Mr. Hakim O Ogunsanya IV, CRNPNPI 1992166193
Title
CRNP-PMH- Family
Phone
(301) 906-7349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X R184091 MD Primary

Addresses

Primary practice location

8225 Londonderry CT
Laurel, MD 20707-5626

Mailing address

8225 Londonderry CT
Laurel, MD 20707-5626
Phone (301) 362-1117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1396170775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 LONDONDERRY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075626",
            "telephone_number": "301-362-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 LONDONDERRY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075626",
            "telephone_number": "301-362-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAKIM O. OGUNSANYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "OGUNSANYA",
        "authorized_official_first_name": "HAKIM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CRNP-PMH- FAMILY",
        "authorized_official_telephone_number": "301-906-7349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "R184091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.