Novum Wellness Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NOVUM WELLNESS CENTER

Practice address

1404 Crain Hwy S Ste 112
Glen Burnie, MD 21061-4056

Phone

(240) 682-6288

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Yeside Ojo, PMHNP-BC, FNP-C,NPI 1760934913

Title

Ceo

Phone

(240) 682-6288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yeside Ojo, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1760934913
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1528656378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 JOSTABERRY WAY",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133718",
            "telephone_number": "240-682-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 CRAIN HWY S STE 112",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614056",
            "telephone_number": "240-682-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUM WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "YESIDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-682-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC, FNP-C,"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novasom Inc.
• Novum Health Services Incorporated
• Novum Health Services Incorporated
• Novum Health Services Incorporated
• Novum Health Services Incorporated
• Novus Pain Management - Maryland, LLC
• Novus Pain Management - Maryland, LLC
• Gabriella Grace Nowicki, MS, RDN, LDN
• Tameka M Nowlin, CCC-SLP
• Xaviera F Nti

• Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.