Organization Active NPI

Mind Beyond Age Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1598697666
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND BEYOND AGE HEALTH SERVICES LLC
Practice address
5438 Bristol Green Way
Baltimore, MD 21229-2105
Phone
(240) 355-1979
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Olubukola AmeenNPI 1346519956
Title
President
Phone
(240) 355-1979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5438 Bristol Green Way
Baltimore, MD 21229-2105

Mailing address

5438 Bristol Green Way
Baltimore, MD 21229-2105
Phone (240) 355-1979

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.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1598697666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 BRISTOL GREEN WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292105",
            "telephone_number": "240-355-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 BRISTOL GREEN WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292105",
            "telephone_number": "240-355-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BEYOND AGE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "AMEEN",
        "authorized_official_first_name": "OLUBUKOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-355-1979"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

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