NPIMap

Organization Active NPI

Resolution Health and Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Halethorpe, MD
National Provider Identifier
1952037517
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESOLUTION HEALTH AND WELLNESS CENTER
Practice address
1401 S Edgewood St Ste 100
Halethorpe, MD 21227-1145
Phone
(410) 275-0928
NPI assigned
Jul 26, 2022
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mr. Odianosen Okojie
Title
Owner
Phone
(443) 803-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1401 S Edgewood St Ste 100
Halethorpe, MD 21227-1145

Mailing address

PO Box 2531
Ellicott City, MD 21041-2531
Phone (443) 803-3291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109002116 MD Part B Supplier - Clinic/Group Practice 4284081498 Receives reassigned benefits from 6 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Resolution Health and Wellness Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

940 Madison Ave
#L2
Baltimore, MD 21201
Phone (410) 275-0928

940 Madison Ave
Ste L2
Baltimore, MD 21201

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1952037517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2531",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210412531",
            "telephone_number": "443-803-3291",
            "fax_number": "410-275-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S EDGEWOOD ST STE 100",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271145",
            "telephone_number": "410-275-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "OKOJIE",
        "authorized_official_first_name": "ODIANOSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-803-3291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halethorpe, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.