Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Healthcare Inc

Organization Psychiatry Physician · NPI 1265295125

Genesis Healthcare Inc is a Psychiatry Physician in Randallstown, Maryland. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8509 Glen Michael Ln Apt T3
Randallstown, MD 21133-5227
Phone: (410) 258-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Psychiatry Physician Taxonomy 2084P0800X
Addiction Psychiatry Physician Taxonomy 2084P0802X

Record details

NPI number1265295125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bolaji Olugboja — Medical Director · (410) 258-0565
Other names Genesis Healthcare Inc; Genesis Healthcare Inc
NPI enumeratedFebruary 2, 2024
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address127 Pittston Cir, Owings Mills, MD 21117-1723

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