Oluwatosin Arowosegbe

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R224003 Issued in MD

Practice address

4380-B Montgomery Road #1004
Ellicott, MD 21043

Phone

(443) 531-5152

NPI assigned

Feb 2, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exodus Behavioral Health LLCGroup PAC ID 9931514247, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Exodus Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1013535442
  Medicare reassignment Care Compare group NPD
• Innovative Mindset Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1740856657
  Medicare reassignment NPD Authorized official
• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616
  Medicare reassignment NPD
• The Treasured Haven Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Frederick, MD
  • NPI 1689451882
  NPD Authorized official
• Exodus Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1124633656
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1801487657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 MANAHAN DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435400",
            "telephone_number": "443-531-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380-B MONTGOMERY ROAD #1004",
            "city": "ELLICOTT",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "443-531-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROWOSEGBE",
        "first_name": "OLUWATOSIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasithorn Chittchang, MD
• Ernesto Lopez Grecia Jr., PT
• Liberty Smiles
• Lourizza Mae Catague Sampalocia
• Eric Joseph Supnet Sevidal

• Psychiatric/Mental Health Nurse Practitioner in Ellicott, MD
• Providers in Ellicott, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.