Organization Active NPI

Tinka Health Services LLC

  • Psychiatry Physician
  • Columbia, MD
National Provider Identifier
1780326421
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TINKA HEALTH SERVICES LLC
Practice address
5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296
Phone
(443) 295-6600
Fax
(951) 281-2991
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Seliat Ajoke Dosunmu, NPNPI 1023483484
Title
Nurse Practitioner
Phone
(571) 349-8285

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: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296

Mailing address

4380B Montgomery Rd # 1201
Ellicott City, MD 21043-6006
Phone (443) 295-6600

Other identifiers 1

IdentifierTypeStateIssuer
1023483484MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL noemail@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260615000287 MD Part B Supplier - Clinic/Group Practice 7012371230 Receives reassigned benefits from 1 practitioner
Practice locations: Catonsville, MD

National Provider Directory

National Provider Directory

Locations

714 Pine St
#1077
Herndon, VA 20170
Phone (571) 349-8285

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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1780326421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380B MONTGOMERY RD # 1201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436006",
            "telephone_number": "443-295-6600",
            "fax_number": "951-281-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "443-295-6600",
            "fax_number": "951-281-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINKA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "DOSUNMU",
        "authorized_official_first_name": "SELIAT",
        "authorized_official_middle_name": "AJOKE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "571-349-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023483484",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "noemail@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "10530 Campus Way S # 1201",
            "city": "Largo",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207741309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.