Individual provider Active NPI

Yeside Ojo, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1760934913
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R170216 Issued in MD
Practice address
631 Cherry Hill Rd
Baltimore, MD 21225-1228
Phone
(410) 354-2000
NPI assigned
Nov 3, 2016
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R170216 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R170216 MD Primary

Addresses

Primary practice location

631 Cherry Hill Rd
Baltimore, MD 21225-1228

Mailing address

2399 Jostaberry Way
Odenton, MD 21113-3718
Phone (240) 682-6288

Other names 1

  • Dr. Yeside Ojo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170110002642 MD Practitioner - Nurse Practitioner 6901187780 Reassigns benefits to 3 organizations
I20170110002756 DC Practitioner - Nurse Practitioner 6901187780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1404 Crain Hwy S
Suite 112
Glen Burnie, MD 21061-4056
Phone (240) 682-6288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of Baltimore, Inc. CurrentSince Jun 10, 2019 Accepting new patients
Family Health Centers of Baltimore CurrentSince Jun 10, 2019 Accepting new patients
Novum Wellness Center Psychiatric/Mental Health CurrentSince Mar 5, 2021 Accepting new patients
Novum Health Services Incorporated CurrentSince May 1, 2023 Accepting new patients
Novum Health Services Incorporated Psychiatric/Mental Health CurrentSince Dec 4, 2023 Accepting new patients

Locations

631 Cherry Hill Rd
Brooklyn, MD 21225
Phone (410) 328-5881

1404 Crain Hwy S
Glen Burnie, MD 21061

1404 Crain Hwy S
Ste 112
Glen Burnie, MD 21061
Phone (240) 581-0619

20 Pleasant Ridge Dr
Ste A
Owings Mills, MD 21117
Phone (410) 902-5940

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1760934913",
    "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": "631 CHERRY HILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "410-354-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJO",
        "first_name": "YESIDE",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170216",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R170216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESIDE",
            "last_name": "OJO",
            "prefix": "DR.",
            "credential": "DNP, PMHNP-BC, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.