NOVUM WELLNESS CENTER
NPI 1528656378
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD

Active since January 07, 2021
1404 CRAIN HWY S STE 112, GLEN BURNIE, MD 21061(240) 682-6288 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2022, Mar 17, 2021, Jan 7, 2021 (3 updates tracked since 2021).

About Novum Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVUM WELLNESS CENTER (NPI 1528656378) is a healthcare organization registered as a psychiatric/mental health in Glen Burnie, Maryland and active in the NPI registry since January 2021. The organization lists Yeside Ojo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528656378
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNOVUM WELLNESS CENTER
Location Address1404 CRAIN HWY S STE 112Glen Burnie, MD 21061-4056
Mailing Address2399 Jostaberry WayOdenton, MD 21113-3718 · (240) 682-6288
Organization SubpartNo
Authorized OfficialYeside OjoCeo · (240) 682-6288
Enumeration DateJanuary 7, 2021
Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
NPI 1528656378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1404 CRAIN HWY S STE 112, Glen Burnie, MD 21061

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation, Substance Use Disorder)
1404 CRAIN HWY S STE 112
GLEN BURNIE, MD 21061
Clinic/Center (Rehabilitation)
1404 CRAIN HWY S STE 112
GLEN BURNIE, MD 21061
Clinic/Center (Mental Health (Including Community Mental Health Center))
1404 CRAIN HWY S STE 112
GLEN BURNIE, MD 21061
Clinic/Center (Primary Care)
1404 CRAIN HWY S STE 112
GLEN BURNIE, MD 21061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528656378, enumerated as an "organization" on January 07, 2021.

The provider is located at 1404 CRAIN HWY S STE 112 GLEN BURNIE, MD 21061 and the phone number is (240) 682-6288.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.