Provider Demographics
NPI:1528954070
Name:OMATSEYE, NORYOR TORITSEJU
Entity type:Individual
Prefix:
First Name:NORYOR
Middle Name:TORITSEJU
Last Name:OMATSEYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 GWYNNSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1767
Mailing Address - Country:US
Mailing Address - Phone:862-763-3548
Mailing Address - Fax:862-763-3548
Practice Address - Street 1:64 GWYNNSWOOD RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1767
Practice Address - Country:US
Practice Address - Phone:862-763-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health