Individual provider Active NPI

Emu Godspower Ohwobete

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1023635877
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R219657 Issued in MD
Practice address
1 Clementine CT Apt 3B
Rosedale, MD 21237-6999
Phone
(443) 500-2458
NPI assigned
Jun 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R219657 MD Primary

Addresses

Primary practice location

1 Clementine CT Apt 3B
Rosedale, MD 21237-6999

Mailing address

6 Aspinwood Way Apt E
Baltimore, MD 21237-4210
Phone (443) 500-2458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201012002069 MD Practitioner - Nurse Practitioner 1658791702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resonance Behavioral Health ServicesGroup PAC ID 5991194813, 12 clinicians

Practice addresses (Care Compare)

5136 Belair Rd
Apt B
Baltimore, MD 21206-5159
Phone (443) 500-2458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Maryland LLC CurrentSince Jun 1, 2021 Accepting new patients
Resonance Behavioral Health Services Psychiatric/Mental Health CurrentSince Aug 9, 2021 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1023635877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ASPINWOOD WAY APT E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374210",
            "telephone_number": "443-500-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLEMENTINE CT APT 3B",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212376999",
            "telephone_number": "443-500-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHWOBETE",
        "first_name": "EMU",
        "middle_name": "GODSPOWER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-28",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R219657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.