Oj Support Living LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

OJ SUPPORT LIVING LLC

Practice address

410 W Parkwood St
Sidney, OH 45365-3612

Phone

(937) 409-8633

NPI assigned

Apr 23, 2026

Organization subpart

No

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

Authorized official

Name

Ousman Jatta, CEO

Title

Managing Member

Phone

(937) 658-8754

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1831034982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W PARKWOOD ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653612",
            "telephone_number": "937-409-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W PARKWOOD ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653612",
            "telephone_number": "937-409-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJ SUPPORT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "JATTA",
        "authorized_official_first_name": "OUSMAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "937-658-8754",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual & Developmental Disabilities Psychologist in Sidney, OH
• Providers in Sidney, OH by specialty
• Intellectual & Developmental Disabilities Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.