Individual provider Active NPI

Catherine Onogimenaje Ogunsola

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1174070858
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R205050 Issued in MD
Practice address
13238 Executive Park Ter
Germantown, MD 20874-2640
Phone
(240) 813-3814
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 R205050 MD Primary

Addresses

Primary practice location

13238 Executive Park Ter
Germantown, MD 20874-2640

Mailing address

PO Box 157
Ashton, MD 20861-0157
Phone (301) 570-9700

Other names 1

  • Catherine Onogimenaje Ehiemua Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161012002364 DC Practitioner - Nurse Practitioner 8426346115 Reassigns benefits to 1 organization
I20161012002460 MD Practitioner - Nurse Practitioner 8426346115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Baltimore, MD 21212
Phone (415) 360-3348

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince May 30, 2023 Accepting new patients
Della Behavioral Health Services CurrentSince Sep 19, 2016 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

5835 York Rd
Baltimore, MD 21212
Phone (410) 204-4541

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

7067 Columbia Gateway Dr
Ste 180
Columbia, MD 21046
Phone (410) 925-7225

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1174070858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13238 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742640",
            "telephone_number": "240-813-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSOLA",
        "first_name": "CATHERINE",
        "middle_name": "ONOGIMENAJE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "EHIEMUA",
            "middle_name": "ONOGIMENAJE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.