Organization Active NPI

New Dawn Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bowie, MD
National Provider Identifier
1578258109
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW DAWN HEALTH SERVICES LLC
Practice address
4450 Mitchellville Rd Ste 1285
Bowie, MD 20716-3112
Phone
(240) 486-6795
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Stella Ogoko, NPNPI 1083385728
Title
Pmhnp
Phone
(240) 486-6795

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4450 Mitchellville Rd Ste 1285
Bowie, MD 20716-3112

Mailing address

4450 Mitchellville Rd Ste 1285
Bowie, MD 20716-3112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606000175 DC Part B Supplier - Clinic/Group Practice 9335506435 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory

Locations

4450 Mitchellville Rd
Ste 1285
Bowie, MD 20716
Phone (240) 244-9052

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1578258109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 MITCHELLVILLE RD STE 1285",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 MITCHELLVILLE RD STE 1285",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163112",
            "telephone_number": "240-486-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "OGOKO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "240-486-6795",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.