Organization Active NPI

Go Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1386597623
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GO WELLNESS LLC
Practice address
16A Bel Air South Pkwy Ste 308
Bel Air, MD 21015-6038
Phone
(443) 983-9320
NPI assigned
Feb 17, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Mr. Gideon Jun Oberio, PMHNP-BCNPI 1447951330
Title
Owner
Phone
(443) 983-9320

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 Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

16A Bel Air South Pkwy Ste 308
Bel Air, MD 21015-6038

Mailing address

16A Bel Air South Pkwy Ste 308
Bel Air, MD 21015-6038
Phone (410) 317-7649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260610004199 MD Part B Supplier - Clinic/Group Practice 7618449653 Receives reassigned benefits from 1 practitioner
Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory

Locations

16A Bel Air South Pkwy
Ste 308
Bel Air, MD 21015
Phone (443) 983-9320

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": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1386597623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16A BEL AIR SOUTH PKWY STE 308",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156038",
            "telephone_number": "410-317-7649",
            "fax_number": "305-564-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16A BEL AIR SOUTH PKWY STE 308",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156038",
            "telephone_number": "443-983-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "OBERIO",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_middle_name": "JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-983-9320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.