Mr Isaac Abioye Olasupo, MSC is a
Psychologist - Cognitive & Behavioral based in Baltimore, Maryland. Mr Isaac Abioye Olasupo is licensed to practice in Maryland (license number 408449700, 409426300) and his current practice location is
2116 N Charles St, Suit 300, Baltimore, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 244-0331.
NPI number for Mr Isaac Abioye Olasupo is 1669405270 and his current mailing address is 6510 Jodie St, New Carrollton, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669405270.
Healthcare Provider's Profile
| Full Name | Mr Isaac Abioye Olasupo |
|---|
| Gender | Male |
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| Speciality | Psychologist - Cognitive & Behavioral |
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| Location | 2116 N Charles St, Baltimore, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669405270
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mr Isaac Abioye Olasupo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669405270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Maryland) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Maryland) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 408449700, 409426300 (Maryland) | Primary |
| 103TR0400X | Psychologist - Rehabilitation | (Maryland) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Isaac Abioye Olasupo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Isaac Abioye Olasupo, MSC 6510 Jodie St, New Carrollton, MD 20784-3636 Ph: (301) 345-4787 | Mr Isaac Abioye Olasupo, MSC 2116 N Charles St, Suit 300, Baltimore, MD 21218-5758 Ph: (410) 244-0331 |
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