Individual provider Active NPI

Maureen Owoh

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1275242448
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R208285 Issued in MD
Practice address
1045 Taylor Ave Ste 104
Towson, MD 21286-8315
Phone
(410) 296-0180
NPI assigned
Nov 16, 2022
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R208285 MD Primary
Registered Nurse 163W00000X R208285 MD

Addresses

Primary practice location

1045 Taylor Ave Ste 104
Towson, MD 21286-8315

Mailing address

9606 Maxwell Rd
Middle River, MD 21220-3792
Phone (443) 823-5088

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
I20240506003302 MD Practitioner - Nurse Practitioner 0547600660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fortitude Behavioral Health LLCGroup PAC ID 5698017150, 2 clinicians

Practice addresses (Care Compare)

Middle River, MD 21220
Phone (443) 979-4520

1900 E Northern Pkwy
Suite T6
Baltimore, MD 21239-2120
Phone (443) 438-6893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R208285MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fortitude Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jul 26, 2024 Accepting new patients
Care Solution Center LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

1900 E Northern Pkwy
Ste T6
Baltimore, MD 21239
Phone (443) 438-6893

1515 Reisterstown Rd
Ste 300
Pikesville, MD 21208
Phone (443) 501-3614

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1275242448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 MAXWELL RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203792",
            "telephone_number": "443-823-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868315",
            "telephone_number": "410-296-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOH",
        "first_name": "MAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R208285",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R208285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.