NPIMap

Organization Active NPI

Optimum Medical Group

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1649847724
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OPTIMUM MEDICAL GROUP
Practice address
3211 Belair Rd
First Floor
Baltimore, MD 21213-1400
Phone
(443) 985-6011
Fax
(800) 616-5240
NPI assigned
Jun 8, 2021
Organization subpart
Yes
Parent organization
OPTIMUM MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Blessing Gabriel, CRNP - PMHNPI 1629504477
Title
Ceo
Phone
(443) 985-6011

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3211 Belair Rd
First Floor
Baltimore, MD 21213-1400

Mailing address

3211 Belair Rd
First Floor
Baltimore, MD 21213-1400
Phone (443) 985-6011

Other names 1

  • Optimum Family Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Optimum Medical Group LLC2 organizations share this tax ID, including this one
Part of
Optimum Medical Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1649847724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 BELAIR RD",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131400",
            "telephone_number": "443-985-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 BELAIR RD",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131400",
            "telephone_number": "443-985-6011",
            "fax_number": "800-616-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUM MEDICAL GROUP, LLC",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-05-07",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-985-6011",
        "authorized_official_credential": "CRNP - PMH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Family Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Optimum Family Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 7, 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.

Verify at the official NPI Registry.