Active NPI
Isaac Abioye Olasupo, MSC
- Cognitive & Behavioral Psychologist
- Baltimore, MD
National Provider Identifier
1669405270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 408449700, 409426300
- Practice address
- 2116 N Charles St
Suit 300
Baltimore, MD 21218-5758 - Phone
- (410) 244-0331
- Fax
- (410) 244-7364
- NPI assigned
- Jul 8, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MD | ||
| Mental Health Counselor | 101YM0800X | MD | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | 408449700, 409426300 | MD | Primary |
| Rehabilitation Psychologist | 103TR0400X | MD |
Addresses
Primary practice location
2116 N Charles St
Suit 300
Baltimore, MD 21218-5758
Mailing address
6510 Jodie St
New Carrollton, MD 20784-3636
Phone (301) 345-4787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 408449700 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| 408449700, 409426300 | MD | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reward Health Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- Baltimore, MD
- NPI 1093955528
-
- Community Based Hospice Care Agency
- Baltimore, MD
- NPI 1972548592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669405270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 JODIE ST",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207843636",
"telephone_number": "301-345-4787",
"fax_number": "301-345-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 N CHARLES ST",
"address_2": "SUIT 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185758",
"telephone_number": "410-244-0331",
"fax_number": "410-244-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLASUPO",
"first_name": "ISAAC",
"middle_name": "ABIOYE",
"name_prefix": "Mr.",
"credential": "MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MD",
"license": "408449700, 409426300",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "MD",
"license": null,
"primary": false
}
],
"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 Sep 11, 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.