NPIMap

Organization Active NPI

Hightower Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1063188753
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HIGHTOWER BEHAVIORAL HEALTH
Practice address
420 Crain Hwy S Ste 3
Glen Burnie, MD 21061-3657
Phone
(410) 595-6199
Fax
(410) 684-5334
NPI assigned
Aug 21, 2021
Last updated
Aug 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHTOWER BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Authorized official

Name
Mary Ogunlowo-Omobhude, PMHNPNPI 1508324971
Title
President/Medical Director
Phone
(410) 595-6199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

420 Crain Hwy S Ste 3
Glen Burnie, MD 21061-3657

Mailing address

420 Crain Hwy S Ste 3
Glen Burnie, MD 21061-3657
Phone (410) 595-6199

National Provider Directory

National Provider Directory
Tax ID family
Hightower Behavioral Health5 organizations share this tax ID, including this one
Part of
Hightower Behavioral Health

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 Crain Hwy S
Ste 3
Glen Burnie, MD 21061
Phone (240) 602-7035

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629504000000",
    "number": "1063188753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S STE 3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "410-595-6199",
            "fax_number": "410-684-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S STE 3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "410-595-6199",
            "fax_number": "410-684-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHTOWER BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHTOWER BEHAVIORAL HEALTH",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A",
        "authorized_official_last_name": "OGUNLOWO-OMOBHUDE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-595-6199",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.