Mary Ogunlowo-Omobhude

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1508324971 Issued in DC

Practice address

420 Crain Hwy S
Ste 3
Glen Burnie, MD 21061-3657

Phone

(240) 602-7035

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hightower Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1972140069

  DC, MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Hightower Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glen Burnie, MD
  • NPI 1063188753
  NPD (past) Authorized official
• Hightower Behavioral Health

  • Rehabilitation Clinic/Center
  • Glen Burnie, MD
  • NPI 1609542398
  NPD (past) Authorized official
• Hightower Behavioral Health

  • Community/Behavioral Health Agency
  • Glen Burnie, MD
  • NPI 1790451482
  NPD (past) Authorized official
• Hightower Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1881360576
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• The Family Wellness Center, Inc

  • Case Management Agency
  • Washington, DC
  • NPI 1437534740
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hightower Behavioral Health 3 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1508324971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BLACKBIRDS FOLLY LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205803",
            "telephone_number": "240-602-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S",
            "address_2": "STE 3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "240-602-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2526 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200206719",
            "country_code": "US",
            "telephone_number": "202-748-5641",
            "fax_number": "202-748-5647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNLOWO-OMOBHUDE",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "1508324971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levena Joann Offer, LCADC
• Shannon Ofiara, LAC, MOM, MAC
• Maureen C Ogbonna, PHARMD
• Opemipo Doyin Ogeyingbo, CRNP
• Marcus Oglesby
• Oluwakemi Ogunsan, M.D.
• Martina O Ogunyileka, O.D
• Dong Yon Oh, PHARMD
• Min Chul Oh, M.D.
• Sangjin Oh, M.D.

• All providers in Glen Burnie, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.