| New Spring Behavioral Health Llc | |
|
6 Post Office Rd Ste 103 Waldorf MD 20602-2746 | |
| (240) 210-8000 | |
| (240) 624-6256 |
| Full Name | New Spring Behavioral Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6 Post Office Rd Ste 103, Waldorf, Maryland |
| Authorized Official Name and Position | Oluwasina Oguntomi (OWNER) |
| Authorized Official Contact | 2402440731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Spring Behavioral Health Llc 8508 Topaz Ct Clinton MD 20735-3342 Ph: (240) 244-0731 | New Spring Behavioral Health Llc 6 Post Office Rd Ste 103 Waldorf MD 20602-2746 Ph: (240) 210-8000 |
| NPI Number | 1720600059 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 1052727880 |
|---|---|
| Medicare Enrollment ID | O20210303000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720600059 | NPI | - | NPPES |
| Provider Name | Oluwasina Oguntomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689113516 PECOS PAC ID: 3173953791 Enrollment ID: I20210303000420 |
| Provider Name | Tolulope Oguntomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881221265 PECOS PAC ID: 9537583232 Enrollment ID: I20210811002124 |
| Provider Name | Kate Ananga Pabai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093076713 PECOS PAC ID: 2860872306 Enrollment ID: I20220630001285 |
| Provider Name | Gloria Alice Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013601608 PECOS PAC ID: 2365896941 Enrollment ID: I20240124004437 |
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