NPIMap

Organization Active NPI

New Spring Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1720600059
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW SPRING BEHAVIORAL HEALTH LLC
Practice address
6 Post Office Rd Ste 103
Waldorf, MD 20602-2746
Phone
(240) 210-8000
Fax
(240) 624-6256
NPI assigned
May 8, 2020
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Mr. Oluwasina Oguntomi, PHMNPNPI 1689113516
Title
Owner
Phone
(240) 244-0731

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

6 Post Office Rd Ste 103
Waldorf, MD 20602-2746

Mailing address

8508 Topaz CT
Clinton, MD 20735-3342
Phone (240) 244-0731

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1720600059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 TOPAZ CT",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353342",
            "telephone_number": "240-244-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POST OFFICE RD STE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022746",
            "telephone_number": "240-210-8000",
            "fax_number": "240-624-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPRING BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "OGUNTOMI",
        "authorized_official_first_name": "OLUWASINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-244-0731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHMNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.