Gladys Tombise Ekema Mosaso, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R210280 Issued in MD

Practice address

7120 Minstrel Way
Suite 203
Columbia, MD 21045-5292

Phone

(508) 979-5557

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M&T Healthcare Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Capitol Heights, MD
  • NPI 1508621772

  DC

  Medicare reassignment NPD Authorized official
• Boston Neurobehavioral Associates, LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1558415307

  MD

  Medicare reassignment Care Compare group NPD
• National Neurobehavioral Associates PC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Irvington, NJ
  • NPI 1144193293

  MD

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1003423385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 EDGEWORTH DR UNIT 3412",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207917505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455292",
            "telephone_number": "508-979-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSASO",
        "first_name": "GLADYS",
        "middle_name": "TOMBISE EKEMA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBON",
            "identifier": "R210280",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Morrison, PSY.D
• Ruby Morrison
• Tamara Morrison
• Veronica Morrow, LCSWC
• Amber Marie Morton
• Danielle Moses
• Motionlife Chiropractic & Acupuncture, LLC
• Cyrill Keyshawn Moulden
• Mountain View Wellness and Consulting LLC
• Lisa Moussa, RN, BSN

• Psychiatric/Mental Health Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.