Collette Adesuwa Omorogbe, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2023019800 Issued in MD

Practice address

1049 Hillen St FL 2
Baltimore, MD 21202-5236

Phone

(410) 905-3767

NPI assigned

Aug 21, 2023

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Psychiatric Group, P.a.Group PAC ID 2769705144, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• American Psychiatric Group, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1043555733
  Medicare reassignment Care Compare group NPD
• Anthopadua Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1205660149
  Medicare reassignment NPD Authorized official
• Amena Health & Rehabilitation Services

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1063117919
  NPD
• American Psychiatric Group, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1720558828
  NPD
• Apg Labs

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1194125153
  NPD
• American Psychiatric Group PA

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1942771654
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1922882232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RIDGECREST WAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156385",
            "telephone_number": "410-905-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 HILLEN ST FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025236",
            "telephone_number": "410-905-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOROGBE",
        "first_name": "COLLETTE",
        "middle_name": "ADESUWA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "2023019800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Omoijuanfo
• Stephanie O Omokaro, M.D.
• Angela Renisha Omoogun, LGPC
• Elizabeth Omopariola
• Nkechi Omorodion
• Richard E Omorogbe, SOCIAL WORKER, LCSWC
• Michael Oluwaseun Omosule, MBBS
• Aderonke Oluyemisi Omotade, M.D.
• Omoteniola Awofolu DDS. LLC
• Roselyn Oluwaseyi Omotosho

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 Aug 21, 2023; 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.