| Fello Inc | |
|
1332 Donald Ave Severn MD 21144-2630 | |
| (410) 269-1883 | |
| (410) 384-4015 |
| Full Name | Fello Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1332 Donald Ave, Severn, Maryland |
| Authorized Official Name and Position | Jose Ochoa (CFO) |
| Authorized Official Contact | 4102691883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fello Inc 999 Corporate Blvd Ste 300 Linthicum MD 21090-2271 Ph: (410) 269-1883 | Fello Inc 1332 Donald Ave Severn MD 21144-2630 Ph: (410) 269-1883 |
| NPI Number | 1215515341 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 4880097534 |
|---|---|
| Medicare Enrollment ID | O20210720000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215515341 | NPI | - | NPPES |
| 156442100 | Medicaid | MD | |
| 889034000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carrie L O Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699217646 PECOS PAC ID: 2769897776 Enrollment ID: I20210224000844 |
| Provider Name | Elisabeth Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326613621 PECOS PAC ID: 6103225909 Enrollment ID: I20210527002092 |
| Provider Name | Tracy Chanel Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801456272 PECOS PAC ID: 4880080522 Enrollment ID: I20220406001923 |
| Provider Name | Dawn K Davis-brodeur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669779450 PECOS PAC ID: 4284171257 Enrollment ID: I20240808000732 |
| Provider Name | Gina Mobley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235825340 PECOS PAC ID: 0143760132 Enrollment ID: I20240905000170 |
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