Open Minded Health Care, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OPEN MINDED HEALTH CARE, LLC

Practice address

90 Holiday Dr
Ste C-1
Solomons, MD 20688

Phone

(667) 910-8540

Fax

(667) 200-4711

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Osaze Ernest Okoro, DNPNPI 1417471269

Title

Medical Director / Owner

Phone

(443) 557-8719

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Open Minded Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Open Minded Health Care, LLC

  • Physical Therapist
  • Solomons, MD
  • NPI 1104680958
  NPD tax ID

Locations

Practitioners 2

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

• Osaze Ernest Okoro, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Solomons, MD
  • NPI 1417471269

  MD, Multi-Specialty

  Medicare reassignment NPD Authorized official
• Emery Myers

  • Addiction (Substance Use Disorder) Counselor
  • Lexington Park, MD
  • NPI 1457815680

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1720719164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10482 BALTIMORE AVE UNIT 324",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052321",
            "telephone_number": "443-557-8719",
            "fax_number": "667-200-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HOLIDAY DR",
            "address_2": "STE C-1",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "20688",
            "telephone_number": "667-910-8540",
            "fax_number": "667-200-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 Sandy Spring Rd Ste 100F",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207073596",
            "country_code": "US",
            "telephone_number": "667-910-8540",
            "fax_number": "667-200-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN MINDED HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "OSAZE",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "443-557-8719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208525900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novus Pain Management - Maryland, LLC
• Occupational Health Centers of the Southwest P.a.
• Occupational Health Centers of the Southwest, P.a. (TX)
• Osaze Ernest Okoro, DNP, APRN, PMHNP-BC
• Open Minded Health Care, LLC
• Maria Novella C Papino Higgs, M.D.
• Barbara Patterson, PAC
• Ashley Nicole Peterson, NP-C
• Cathleen Marie Pirner, FNP,MSN
• Matthew Edward Pisarski, SLP

• All providers in Solomons, 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 May 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.