Active NPI
Optimum Mental Health, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1639937709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- OPTIMUM MENTAL HEALTH, LLC
- Practice address
- 2300 Garrison Blvd Ste 104
Baltimore, MD 21216-2308 - Phone
- (667) 771-2776
- Fax
- (410) 655-3484
- NPI assigned
- Mar 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samson A Omotosho, CRNP-PMH
- Title
- Director & Psychiatric Nurse Practi
- Phone
- (443) 858-3189
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2300 Garrison Blvd Ste 104
Baltimore, MD 21216-2308
Mailing address
10701 Chapeldale Road
Randallstown, MD 21133
Phone (443) 858-3189
Other names 1
- Optimum Mental Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Registered Nurse
- Baltimore, MD
- NPI 1295005973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1639937709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 CHAPELDALE ROAD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "21133",
"telephone_number": "443-858-3189",
"fax_number": "410-655-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GARRISON BLVD STE 104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212162308",
"telephone_number": "667-771-2776",
"fax_number": "410-655-3484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM MENTAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-12",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "OMOTOSHO",
"authorized_official_first_name": "SAMSON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR & PSYCHIATRIC NURSE PRACTI",
"authorized_official_telephone_number": "443-858-3189",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "CRNP-PMH"
},
"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": [
{
"organization_name": "Optimum Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.