Organization Active NPI

Holistic Track Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
National Provider Identifier
1699357699
Registry record updated Apr 30, 2021
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
HOLISTIC TRACK INCORPORATED
Practice address
110 Painters Mill Rd Ste 108B
Owings Mills, MD 21117-4920
Phone
(240) 552-0264
Fax
(443) 441-5081
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Evarist O Oguguo, PMHNP, DNP
Title
President
Phone
(240) 552-0264

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

110 Painters Mill Rd Ste 108B
Owings Mills, MD 21117-4920

Mailing address

2504 Somerton CT
Bowie, MD 20721-2979
Phone (240) 552-0264

National Provider Directory

National Provider Directory

Locations

110 Painters Mill Rd
Ste 108B
Owings Mills, MD 21117
Phone (240) 552-0264

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1699357699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SOMERTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212979",
            "telephone_number": "240-552-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 108B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174920",
            "telephone_number": "240-552-0264",
            "fax_number": "443-441-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC TRACK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "OGUGUO",
        "authorized_official_first_name": "EVARIST",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-552-0264",
        "authorized_official_credential": "PMHNP, DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.