MEDICARE: BAYO MENTAL HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1639049380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYO MENTAL HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1212 LAWLER DR
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-2158
Country	:	US
Telephone Number	:	240-706-1203
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 LAWLER DR
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-2158
Country	:	US
Telephone Number	:	240-706-1203
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ENJOH M SANJE YOKWAN
Credential	:	DNP.PMHNP-BC
Telephone Number	:	240-706-1203

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	04/10/2026

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