Exodus Behavioral Health LLC
A Medicare group practice based in Baltimore, MD: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9931514247), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9931514247
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210219000046 | MD | Part B Supplier - Clinic/Group Practice | 1013535442 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Exodus Behavioral Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1013535442
-
Exodus Behavioral Health LLC
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
- NPI 1174152946
-
Exodus Behavioral Health, LLC
- Adult Mental Health Clinic/Center
- Baltimore, MD
- NPI 1124633656
Practice locations
- Baltimore, MD1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).
-
Oluwatosin Arowosegbe
- Psychiatric/Mental Health Nurse Practitioner
- Ellicott, MD
- NPI 1801487657
-
Phylea C Daniels-McCoy
- Clinical Social Worker
- Baltimore, MD
- NPI 1619510922
-
Hae Won Hannah Lee, NP
- Internal Medicine Physician
- Temple Hills, MD
- NPI 1568931913
-
Jeanette Ophelia Mitchell, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Westminster, MD
- NPI 1659597185
-
Nana-Amma Mintaa Owusu-Donkor, LCSW
- Clinical Social Worker
- Dover, DE
- NPI 1952945867
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.