Goldb

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GOLDB

Practice address

4757 Clairelee Dr
Owings Mills, MD 21117-4758

Phone

(443) 858-1968

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Mobolaji O Rosanwo, MSN, CRNPNPI 1730753989

Title

Owner of Entity

Phone

(443) 858-1968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Mobolaji Rosanwo, DNP CRNP PHMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1730753989

  MD

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1861115198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 CLAIRELEE DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174758",
            "telephone_number": "443-858-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 CLAIRELEE DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174758",
            "telephone_number": "443-858-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "ROSANWO",
        "authorized_official_first_name": "MOBOLAJI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "443-858-1968",
        "authorized_official_credential": "MSN, CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Pauline Glover
• Laurie Glovinsky
• Stephanie Taylor Godiwala, LCMFT
• Godwins Wellness Services
• Sara Elise Goggin, PT, DPT
• Jessica Bess Goldberg, BCBA, LBA
• Julian Robert Goldberg, M.D.
• Rachel Tova Goldberg, BCBA, LBA
• Ellie P Goldbloom, M.D.
• Liba Eshter Goldblum, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, 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 Sep 21, 2022; 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.