GOLDB
NPI 1861115198
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since September 21, 2022
4757 CLAIRELEE DR, OWINGS MILLS, MD 21117(443) 858-1968 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Goldb NPPES

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

GOLDB (NPI 1861115198) is a healthcare organization registered as a psychiatric/mental health in Owings Mills, Maryland and active in the NPI registry since September 2022. The organization lists Mobolaji O Rosanwo, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1861115198
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGOLDB
Location Address4757 CLAIRELEE DROwings Mills, MD 21117-4758
Mailing Address4757 Clairelee DrOwings Mills, MD 21117-4758 · (443) 858-1968
Organization SubpartNo
Authorized OfficialMobolaji O RosanwoOwner Of Entity · (443) 858-1968
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1861115198 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
4757 CLAIRELEE DR, Owings Mills, MD 21117

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goldb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Goldb, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1730753989
418 BROADWAY STE N
Albany, NY 12207
(443) 858-1968
✔ PECOS✔ Accepts Medicare276 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goldb's NPI number?

The NPI number for Goldb is 1861115198. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Goldb located?

Goldb is located at 4757 Clairelee Dr, Owings Mills, MD 21117. The listed phone number is (443) 858-1968.

What is Goldb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Goldb enrolled in Medicare?

Yes. Goldb is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goldb?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Goldb. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Goldb was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.