Organization Active NPI

True Vine Health Systems Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Gwynn Oak, MD
National Provider Identifier
1831830231
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TRUE VINE HEALTH SYSTEMS INC.
Practice address
6108 Liberty Rd Ste A3
Gwynn Oak, MD 21207-6207
Phone
(443) 469-9528
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Bola OsunkiyesiNPI 1427651561
Title
Owner
Phone
(985) 464-9810

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6108 Liberty Rd Ste A3
Gwynn Oak, MD 21207-6207

Mailing address

6108 Liberty Rd Ste A3
Gwynn Oak, MD 21207-6207
Phone (443) 469-9528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220721000839 MD Part B Supplier - Clinic/Group Practice 8921489048 Receives reassigned benefits from 1 practitioner
Practice locations: Gwynn Oak, MD

National Provider Directory

National Provider Directory

Locations

6810 Park Heights Ave
Ste C5
Baltimore, MD 21215
Phone (410) 358-3000

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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1831830231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 LIBERTY RD STE A3",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076207",
            "telephone_number": "443-469-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 LIBERTY RD STE A3",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076207",
            "telephone_number": "443-469-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE VINE HEALTH SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "OSUNKIYESI",
        "authorized_official_first_name": "BOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-464-9810"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.