Individual provider Active NPI

Cynthia Zoe Gotomo

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1215621040
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R226849 Issued in MD
Practice address
402 E 25TH St
Baltimore, MD 21218-5304
Phone
(410) 493-8389
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R226849 MD
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X R226849 MD Primary

Addresses

Primary practice location

402 E 25TH St
Baltimore, MD 21218-5304

Mailing address

7231 Carriage Hill Dr
Laurel, MD 20707-5369
Phone (410) 493-8389

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
I20250328001474 MD Practitioner - Nurse Practitioner 7517308042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 N Charles St
Suite 120
Baltimore, MD 21201-5592
Phone (443) 682-9102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Remac Behavioral Health Solutions LLC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
West Pointe Healthcare LLC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Remac Behavioral Health Solutions LLC Multi-Specialty Current Accepting new patients
West Pointe Healthcare LLC CurrentSince Mar 1, 2025 Accepting new patients
Krissey Medical and Mental Health Multi-Specialty PastSince Nov 1, 2024 Accepting new patients

Locations

1800 N Charles St
Ste 306
Baltimore, MD 21201
Phone (410) 605-0044

5 Gwynns Mill Ct
Ste 5C
Owings Mills, MD 21117
Phone (667) 678-1048

Organizations & group practices 5

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1215621040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 CARRIAGE HILL DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075369",
            "telephone_number": "410-493-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-493-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTOMO",
        "first_name": "CYNTHIA",
        "middle_name": "ZOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R226849",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R226849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.