NPIMap

Organization Active NPI

Erosun Behavioral Health Services Inc,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
National Provider Identifier
1902409725
Registry record updated Apr 28, 2022
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
EROSUN BEHAVIORAL HEALTH SERVICES INC,
Practice address
10811 Red Run Blvd Ste 110
Owings Mills, MD 21117-5150
Phone
(410) 296-4641
NPI assigned
Nov 17, 2020
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Mr. Segun Oladunni, MA
Title
Ceo
Phone
(410) 296-4641

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Rehabilitation Clinic/Center 261QR0400X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU

Addresses

Primary practice location

10811 Red Run Blvd Ste 110
Owings Mills, MD 21117-5150

Mailing address

10811 Red Run Blvd Ste 204
Owings Mills, MD 21117-5151
Phone (410) 296-4641

Other practice location 1

1045 Taylor Ave Ste 101
Towson, MD 21286-8357
Phone (410) 296-4641

National Provider Directory

National Provider Directory

Locations

10811 Red Run Blvd
Ste 204
Owings Mills, MD 21117
Phone (410) 296-4641

1045 Taylor Ave
Fl 1
Towson, MD 21286

1045 Taylor Ave
Fl 2
Towson, MD 21286

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1902409725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 RED RUN BLVD STE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175151",
            "telephone_number": "410-296-4641",
            "fax_number": "410-296-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 RED RUN BLVD STE 110",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175150",
            "telephone_number": "410-296-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Taylor Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212868357",
            "country_code": "US",
            "telephone_number": "410-296-4641",
            "fax_number": "410-296-4643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EROSUN BEHAVIORAL HEALTH SERVICES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "OLADUNNI",
        "authorized_official_first_name": "SEGUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-296-4641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "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 Apr 28, 2022; 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.