IndividualActive
Isaac Olasupo, MSC
NPI 1669405270 · Cognitive & Behavioral Psychologist · Baltimore, MD
Provider details
- NPI number
- 1669405270
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- MSC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 408449700, 409426300 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Rehabilitation Psychologist103TR0400X
Behavioral Health & Social Service Providers
Practice location
2116 N Charles St
Suit 300
Baltimore, MD 21218-5758
Phone: (410) 244-0331
Fax: (410) 244-7364
Approximate (ZIP-level) locationGet directions
Mailing address
6510 Jodie St
New Carrollton, MD 20784-3636
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.