Organization Active NPI

His &Her Medical and Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1154094548
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HIS &HER MEDICAL AND MENTAL HEALTH SERVICES
Practice address
9015 Woodyard Rd Ste 111B
Clinton, MD 20735-4209
Phone
(240) 493-7847
Fax
(240) 493-7327
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Efemwonyi F Jesuorobo, DNP, CRNP, FNP,PMHNPNPI 1760835003
Title
Owner of Entity
Phone
(240) 493-7847

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9015 Woodyard Rd Ste 111B
Clinton, MD 20735-4209

Mailing address

9015 Woodyard Rd Ste 111B
Clinton, MD 20735-4209
Phone (240) 493-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210824000669 DC Part B Supplier - Clinic/Group Practice 6002211406 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Oxon Hill, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
His Her Medical and Mental Health Servi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9015 Woodyard Rd
Ste 111B
Clinton, MD 20735
Phone (202) 754-5813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1154094548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 111B",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354209",
            "telephone_number": "240-493-7847",
            "fax_number": "240-493-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 111B",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354209",
            "telephone_number": "240-493-7847",
            "fax_number": "240-493-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS &HER MEDICAL AND MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "JESUOROBO",
        "authorized_official_first_name": "EFEMWONYI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "240-493-7847",
        "authorized_official_credential": "DNP, CRNP, FNP,PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.