Active NPI
Olalekan Iyiola Ajayi
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R183252
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (410) 601-5610
- NPI assigned
- Mar 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R183252 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Mailing address
11513 Lipscomb Way
White Marsh, MD 21162-3425
Phone (443) 925-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210913000836 | MD | Practitioner - Nurse Practitioner | 7911303292 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Balance Point Wellness LLC
Practice addresses (Care Compare)
11 Ctr PL
Suite 201
Dundalk, MD 21222-4377
Phone (410) 870-6037
11350 McCormick Rd
Hunt Valley, MD 21031-1002
Phone (410) 800-2169
8606 Harford Rd
Parkville, MD 21234-4657
Phone (410) 870-6037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R183252 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Mind Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
| Infinite Mind Wellness | Current | Accepting new patients | |
| Balance Point Wellness, LLC | Current | Accepting new patients | |
| Legacy Aspire Healthcare | Current | Accepting new patients |
Locations
5820 York Rd
Ste 201
Baltimore, MD 21212
Phone (410) 365-0693
2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740
11350 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 258-4721
7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012
212 W Main St
Ste 303
Salisbury, MD 21801
Phone (410) 401-8075
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1467109421
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1225963481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1962087627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11513 LIPSCOMB WAY",
"city": "WHITE MARSH",
"state": "MD",
"postal_code": "211623425",
"telephone_number": "443-925-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJAYI",
"first_name": "OLALEKAN",
"middle_name": "IYIOLA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R183252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.