Individual provider Active NPI

Olayinka Olamide Sogbesan

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1548101140
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R66402 Issued in MD
Practice address
10264 Baltimore National Pike Ste B
Ellicott City, MD 21042-3609
Phone
(443) 288-0366
Fax
(667) 600-6131
NPI assigned
Apr 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 R66402 MD Primary

Addresses

Primary practice location

10264 Baltimore National Pike Ste B
Ellicott City, MD 21042-3609

Mailing address

35 K St NE
Washington, DC 20002-4216
Phone (202) 839-3500

Other practice location 1

1905 Bloomingdale Rd
Baltimore, MD 21216-3002
Phone (443) 835-4702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R66402MDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1548101140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 K ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024216",
            "telephone_number": "202-839-3500",
            "fax_number": "202-839-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10264 BALTIMORE NATIONAL PIKE STE B",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423609",
            "telephone_number": "443-288-0366",
            "fax_number": "667-600-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Bloomingdale Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212163002",
            "country_code": "US",
            "telephone_number": "443-835-4702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOGBESAN",
        "first_name": "OLAYINKA",
        "middle_name": "OLAMIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R66402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.