Nimel TMS & Spravato Clinic Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NIMEL TMS & SPRAVATO CLINIC INC

Practice address

6215 Greenbelt Rd Ste 107
Berwyn Heights, MD 20740-2355

Phone

(301) 272-1558

Fax

(301) 272-1559

NPI assigned

Oct 6, 2025

Organization subpart

No

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

Authorized official

Name

Mosunmola Sandra Lake

Title

Medical Director

Phone

(301) 272-1558

Specialties & licenses 3

Addresses

Tax ID family

Nimel TMS Spravato Clinic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nimel TMS & Spravato Clinic Inc

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1073470068
  NPD tax ID
• Nimel TMS & Spravato Clinic Inc

  • Psychiatry Physician
  • Westminster, MD
  • NPI 1245169184
  NPD tax ID

Locations

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1881568418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 GREEN ASH LN",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 GREENBELT RD STE 107",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402355",
            "telephone_number": "301-272-1558",
            "fax_number": "301-272-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Littlestown Pike Ste A1",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211573042",
            "country_code": "US",
            "telephone_number": "410-386-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9111 Edmonston Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207701552",
            "country_code": "US",
            "telephone_number": "301-272-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIMEL TMS & SPRAVATO CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "MOSUNMOLA",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-272-1558"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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": []
}

• Nimel Mental Health
• Nimel Mental Health
• Nimel Mental Health
• Nimel Mental Health
• Nimel Mental Health
• Nirvana Holistic Spa LLC
• Chinalu Chinyere Nwagu
• Lucy Omoboye Ogunsuyi
• Vitalis O Ojiegbe, MD
• Omega Medical Supply, LLC.

• Psychiatry Physician in Berwyn Heights, MD
• Providers in Berwyn Heights, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.