NPIMap

Organization Active NPI

Hightower Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1972140069
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HIGHTOWER BEHAVIORAL HEALTH
Practice address
420 Crain Hwy S Ste 3
Glen Burnie, MD 21061-3657
Phone
(410) 595-6199
Fax
(410) 684-5334
NPI assigned
Dec 8, 2019
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Mary Ogunlowo-OmobhudeNPI 1508324971
Title
President
Phone
(240) 602-7035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

420 Crain Hwy S Ste 3
Glen Burnie, MD 21061-3657

Mailing address

4505 Blackbirds Folly LN
Bowie, MD 20720-5803
Phone (240) 602-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200330003082 DC Part B Supplier - Clinic/Group Practice 5799114591 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD
O20200505000689 MD Part B Supplier - Clinic/Group Practice 5799114591 Receives reassigned benefits from 6 practitioners
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory
Tax ID family
Hightower Behavioral Health5 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.

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1972140069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BLACKBIRDS FOLLY LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205803",
            "telephone_number": "240-602-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S STE 3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "410-595-6199",
            "fax_number": "410-684-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHTOWER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "OGUNLOWO-OMOBHUDE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-602-7035"
    },
    "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": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.