Innermind Solutions LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INNERMIND SOLUTIONS LLC

Practice address

11715 Basswood Dr
Laurel, MD 20708-3167

Phone

(959) 277-0432

Fax

(860) 374-4063

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ayodeji Bamidele Olawale, DNPNPI 1598395725

Title

Ceo

Phone

(301) 905-2947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayodeji Bamidele Olawale, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, CT
  • NPI 1598395725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1639799141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 BASSWOOD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083167",
            "telephone_number": "959-277-0432",
            "fax_number": "860-374-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 BASSWOOD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083167",
            "telephone_number": "959-277-0432",
            "fax_number": "860-374-4063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3028 Greenmount Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212183938",
            "country_code": "US",
            "telephone_number": "866-359-4690",
            "fax_number": "959-216-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Main St Ste 412",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061032703",
            "country_code": "US",
            "telephone_number": "959-277-0432",
            "fax_number": "860-374-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNERMIND SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "OLAWALE",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_middle_name": "BAMIDELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-905-2947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.