Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tajudeen Omodeoye, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356817373

Mr. Tajudeen Omodeoye, PMHNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2017, 9 years ago. Practices with National Pike Health Center, a 9-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2018
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

5411 Old Frederick Rd Ste 8
Baltimore, MD 21229-2126
Phone: (443) 315-5007
Fax: (443) 251-5393
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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 · Licence PENDING (MD)

Record details

NPI number1356817373
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 17, 2018
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice National Pike Health Center — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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