NPIMap

Organization Active NPI

Healthyminds Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
National Provider Identifier
1851078992
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALTHYMINDS WELLNESS LLC
Practice address
11155 Dolfield Blvd Ste 116
Owings Mills, MD 21117-3289
Phone
(443) 257-5896
NPI assigned
Jun 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Ayorinde OyeneyinNPI 1932746062
Title
President
Phone
(443) 257-5896

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 Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

11155 Dolfield Blvd Ste 116
Owings Mills, MD 21117-3289

Mailing address

9448 Adelaide LN
Owings Mills, MD 21117-7097
Phone (443) 257-5896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230818000504 MD Part B Supplier - Clinic/Group Practice 0244692531 Receives reassigned benefits from 3 practitioners
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1851078992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9448 ADELAIDE LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177097",
            "telephone_number": "443-257-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD STE 116",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173289",
            "telephone_number": "443-257-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYMINDS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "OYENEYIN",
        "authorized_official_first_name": "AYORINDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-257-5896"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.