Individual provider Active NPI

Oluwasina Oguntomi

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1689113516
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R217730 Issued in MD
Practice address
8901 Rockville Pike
Bethesda, MD 20889-0001
Phone
(130) 129-5400
NPI assigned
Feb 12, 2017
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R217730 MD Primary

Addresses

Primary practice location

8901 Rockville Pike
Bethesda, MD 20889-0001

Mailing address

7700 Old Branch Ave Ste C104
Clinton, MD 20735-1628
Phone (240) 348-2444

Other practice location 1

7700 Old Branch Ave Ste C104
Clinton, MD 20735-1628
Phone (240) 348-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200423000429 MD Practitioner - Nurse Practitioner 3173953791 Reassigns benefits to 1 organization
I20210303000420 DC Practitioner - Nurse Practitioner 3173953791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7700 Old Branch Ave
Clinton, MD 20735-1628
Phone (240) 348-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Integrative Health Psychiatric/Mental Health CurrentSince May 6, 2024 Accepting new patients
New Spring Behavioral Health LLC Psychiatric/Mental Health CurrentSince Oct 8, 2020 Accepting new patients
Umaru Labay-Kamara, MD, LLC CurrentSince Mar 25, 2020 Accepting new patients
Altitude Behavioral Care LLC Psychiatric/Mental Health CurrentSince Aug 16, 2026 Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients

Locations

7700 Old Branch Ave
Ste C104
Clinton, MD 20735
Phone (240) 244-0731

101 E Charles St
Ste 202
La Plata, MD 20646
Phone (806) 778-6106

6 Post Office Rd
Ste 103
Waldorf, MD 20602
Phone (301) 213-1282

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1689113516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE STE C104",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "240-348-2444",
            "fax_number": "240-348-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "130-129-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Old Branch Ave Ste C104",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207351628",
            "country_code": "US",
            "telephone_number": "240-348-2444",
            "fax_number": "240-348-2454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNTOMI",
        "first_name": "OLUWASINA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-12",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R217730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.