Provider Demographics
NPI:1427676071
Name:OMI PSYCHIATRY AND TMS LLC
Entity type:Organization
Organization Name:OMI PSYCHIATRY AND TMS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ADERONKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOTADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-801-6575
Mailing Address - Street 1:2700 LIGHTHOUSE PT E STE 260
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4791
Mailing Address - Country:US
Mailing Address - Phone:410-801-6575
Mailing Address - Fax:410-801-9672
Practice Address - Street 1:2700 LIGHTHOUSE PT E STE 260
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4791
Practice Address - Country:US
Practice Address - Phone:410-801-6575
Practice Address - Fax:410-801-9672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty