| Psychogeriatric Services Llc | |
|
12073 Tech Rd Ste B Silver Spring MD 20904-7874 | |
| (301) 593-1315 | |
| (301) 681-4699 |
| Full Name | Psychogeriatric Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12073 Tech Rd Ste B, Silver Spring, Maryland |
| Authorized Official Name and Position | Myriam Perales (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2406914952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychogeriatric Services Llc 12073 Tech Rd Ste B Silver Spring MD 20904-7874 Ph: (301) 593-1315 | Psychogeriatric Services Llc 12073 Tech Rd Ste B Silver Spring MD 20904-7874 Ph: (301) 593-1315 |
| NPI Number | 1588689483 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 6002719226 |
|---|---|
| Medicare Enrollment ID | O20040127000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588689483 | NPI | - | NPPES |
| G01132 | Other | DC | MEDICARE |
| 400730100 | Medicaid | MD |
| Provider Name | Michael Horan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215098728 PECOS PAC ID: 4789575291 Enrollment ID: I20040323001720 |
| Provider Name | Narayanan Ramesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417950031 PECOS PAC ID: 3577466796 Enrollment ID: I20040325001511 |
| Provider Name | Umar Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376633321 PECOS PAC ID: 5092792713 Enrollment ID: I20040701000268 |
| Provider Name | Sadia Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962512095 PECOS PAC ID: 1153343439 Enrollment ID: I20051230000069 |
| Provider Name | Aleksandr Kronik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336276476 PECOS PAC ID: 2163430885 Enrollment ID: I20060322000400 |
| Provider Name | Cynthia Munshell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447423652 PECOS PAC ID: 0547330300 Enrollment ID: I20080605000152 |
| Provider Name | Aditi Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053579540 PECOS PAC ID: 9436211869 Enrollment ID: I20081219000059 |
| Provider Name | Angela R Rajesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760635502 PECOS PAC ID: 4880756162 Enrollment ID: I20090209000304 |
| Provider Name | Robyn Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336305895 PECOS PAC ID: 6608924949 Enrollment ID: I20090427000077 |
| Provider Name | Naveen Maddineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700956810 PECOS PAC ID: 7810965159 Enrollment ID: I20090813000291 |
| Provider Name | Deborah Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497983662 PECOS PAC ID: 7113073016 Enrollment ID: I20090917000513 |
| Provider Name | Linda Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447464409 PECOS PAC ID: 0941331482 Enrollment ID: I20100707000159 |
| Provider Name | Cia M Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124276852 PECOS PAC ID: 1951585108 Enrollment ID: I20110413000068 |
| Provider Name | Tamara L Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275782138 PECOS PAC ID: 2769543172 Enrollment ID: I20110502000438 |
| Provider Name | Deepan Chatterjee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114166170 PECOS PAC ID: 1456409499 Enrollment ID: I20110531000129 |
| Provider Name | Joann K Thacker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205862406 PECOS PAC ID: 0345414231 Enrollment ID: I20111110000173 |
| Provider Name | Emmanuel R Oni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356597975 PECOS PAC ID: 1759563323 Enrollment ID: I20120404000235 |
| Provider Name | Andrew Speer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386884492 PECOS PAC ID: 5890958813 Enrollment ID: I20120531000252 |
| Provider Name | Jeanne Van Eepoel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457659021 PECOS PAC ID: 8123203825 Enrollment ID: I20120713000226 |
| Provider Name | Stephanie Comer-concordia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508847286 PECOS PAC ID: 3375586696 Enrollment ID: I20120801000620 |
| Provider Name | James B Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467707695 PECOS PAC ID: 3476700832 Enrollment ID: I20120821000447 |
| Provider Name | Cristina Ruzila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568727550 PECOS PAC ID: 5799939039 Enrollment ID: I20130214000007 |
| Provider Name | Bosede M Adeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659629798 PECOS PAC ID: 5395980502 Enrollment ID: I20130318000115 |
| Provider Name | Carole L Shultis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396184198 PECOS PAC ID: 5395988372 Enrollment ID: I20130913000323 |
| Provider Name | Annette G Tarpley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629370895 PECOS PAC ID: 3577746106 Enrollment ID: I20131022001709 |
| Provider Name | Taffae Mayonette Cadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295048338 PECOS PAC ID: 2163547217 Enrollment ID: I20140512001208 |
| Provider Name | Colleen Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972925477 PECOS PAC ID: 1557585395 Enrollment ID: I20140617001416 |
| Provider Name | Malika I Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083022446 PECOS PAC ID: 2668692757 Enrollment ID: I20141014000559 |
| Provider Name | Valerie Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316963846 PECOS PAC ID: 8224048681 Enrollment ID: I20141113000725 |
| Provider Name | Folasade Adewunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699186676 PECOS PAC ID: 1153548110 Enrollment ID: I20141229000315 |
| Provider Name | Dana D Mohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427496496 PECOS PAC ID: 8729221122 Enrollment ID: I20150211001396 |
| Provider Name | Cynthia A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457422958 PECOS PAC ID: 8820315211 Enrollment ID: I20150324000584 |
| Provider Name | Cholet K Josue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386834679 PECOS PAC ID: 4385720606 Enrollment ID: I20150422001345 |
| Provider Name | Chidiadi Agoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710370945 PECOS PAC ID: 7618296351 Enrollment ID: I20150501000918 |
| Provider Name | Amanda S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316337603 PECOS PAC ID: 6002135696 Enrollment ID: I20150504000890 |
| Provider Name | Shawn Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013013 PECOS PAC ID: 6002137890 Enrollment ID: I20150604002369 |
| Provider Name | Florence Oluranti Alli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760887517 PECOS PAC ID: 7810209954 Enrollment ID: I20150702001649 |
| Provider Name | Kadija Conteh-barrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841673290 PECOS PAC ID: 9931413648 Enrollment ID: I20150807014410 |
| Provider Name | Donna J. Vannata |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386757649 PECOS PAC ID: 9335036805 Enrollment ID: I20150908002894 |
| Provider Name | Steven G Adelmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164890042 PECOS PAC ID: 7416266424 Enrollment ID: I20151014000564 |
| Provider Name | Melvin J Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619904190 PECOS PAC ID: 6305749524 Enrollment ID: I20151015002300 |
| Provider Name | Lindsay Mayhood Liwanag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720457047 PECOS PAC ID: 3072823269 Enrollment ID: I20151029002009 |
| Provider Name | Yasmin C Elkhair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598937849 PECOS PAC ID: 0840500625 Enrollment ID: I20151106000788 |
| Provider Name | Sally Fogle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316185671 PECOS PAC ID: 4587721386 Enrollment ID: I20151110001098 |
| Provider Name | Caroline Shirima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114396637 PECOS PAC ID: 4284938911 Enrollment ID: I20160201001410 |
| Provider Name | Africa M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487063707 PECOS PAC ID: 0749502995 Enrollment ID: I20160203001104 |
| Provider Name | Mehryar Tabib |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295776698 PECOS PAC ID: 9931196953 Enrollment ID: I20160203001345 |
| Provider Name | Megan Low |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306280649 PECOS PAC ID: 5092954586 Enrollment ID: I20160308000533 |
| Provider Name | Suvi S Hyytiainen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962873604 PECOS PAC ID: 7810286861 Enrollment ID: I20160516001228 |
| Provider Name | Charles Besong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720432172 PECOS PAC ID: 3870882533 Enrollment ID: I20160519000726 |
| Provider Name | John Wisor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972849107 PECOS PAC ID: 7719128289 Enrollment ID: I20160630001987 |
| Provider Name | Seliat A Dosunmu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023483484 PECOS PAC ID: 4486947215 Enrollment ID: I20160801001495 |
| Provider Name | Rashidat Adebisi Akinsanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790126670 PECOS PAC ID: 8729209333 Enrollment ID: I20160929001868 |
| Provider Name | Adetimbo Adediran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679922298 PECOS PAC ID: 4082902937 Enrollment ID: I20161011000913 |
| Provider Name | Benedette C Nnaji-aniekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538533773 PECOS PAC ID: 2860780509 Enrollment ID: I20161012000397 |
| Provider Name | Christina Urcinas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427447929 PECOS PAC ID: 1759607732 Enrollment ID: I20161101001119 |
| Provider Name | Tamela Mcclam |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1205095098 PECOS PAC ID: 7315175981 Enrollment ID: I20161109001167 |
| Provider Name | Saeed Salehinia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720289184 PECOS PAC ID: 7012059942 Enrollment ID: I20161121001110 |
| Provider Name | Lisa Hawkins-eidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679016315 PECOS PAC ID: 5092095133 Enrollment ID: I20161208000005 |
| Provider Name | Geraldine Ambe Ambahe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700272853 PECOS PAC ID: 6305132234 Enrollment ID: I20170112000025 |
| Provider Name | Uche H Fabiku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295283638 PECOS PAC ID: 0244515567 Enrollment ID: I20170328001406 |
| Provider Name | Erica Bindrim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437392347 PECOS PAC ID: 6103051107 Enrollment ID: I20170503001027 |
| Provider Name | Sharon Nuss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275074676 PECOS PAC ID: 2062783566 Enrollment ID: I20170802000143 |
| Provider Name | Annette M Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619400843 PECOS PAC ID: 7719258839 Enrollment ID: I20170809000211 |
| Provider Name | Ayo Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710428941 PECOS PAC ID: 5597037366 Enrollment ID: I20170815001816 |
| Provider Name | Ashley Marie Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558795609 PECOS PAC ID: 5496038325 Enrollment ID: I20170822001294 |
| Provider Name | Enyonam J Jordan Brangman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114112604 PECOS PAC ID: 3678856259 Enrollment ID: I20170825001343 |
| Provider Name | Solomon D Meltzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629271127 PECOS PAC ID: 0840518577 Enrollment ID: I20170831002659 |
| Provider Name | Honorine E Wanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245625649 PECOS PAC ID: 5597042721 Enrollment ID: I20171004000365 |
| Provider Name | Monique M Oglesby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831240720 PECOS PAC ID: 4789901570 Enrollment ID: I20171017000122 |
| Provider Name | Chinyere E Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790201952 PECOS PAC ID: 7911273008 Enrollment ID: I20171017002375 |
| Provider Name | Julius Fomengia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538688684 PECOS PAC ID: 7416216965 Enrollment ID: I20180110000660 |
| Provider Name | Asmita Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902311475 PECOS PAC ID: 6406116672 Enrollment ID: I20180207003057 |
| Provider Name | Sandra Millner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922283514 PECOS PAC ID: 7416217245 Enrollment ID: I20180215002454 |
| Provider Name | Dorin Takwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932582517 PECOS PAC ID: 1850604638 Enrollment ID: I20180227000179 |
| Provider Name | Amy Jo Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669533956 PECOS PAC ID: 6709989189 Enrollment ID: I20180329000057 |
| Provider Name | Awatif Bazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881193811 PECOS PAC ID: 2567726383 Enrollment ID: I20180503000052 |
| Provider Name | Everett Henry Bayliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336361658 PECOS PAC ID: 0446430003 Enrollment ID: I20180514001669 |
| Provider Name | Jeanette Steward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851720593 PECOS PAC ID: 4183989627 Enrollment ID: I20180604001843 |
| Provider Name | Olivia Anaele-nwogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710408885 PECOS PAC ID: 4789931015 Enrollment ID: I20180718002684 |
| Provider Name | Tahimina Popal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407399058 PECOS PAC ID: 3678820206 Enrollment ID: I20180911000408 |
| Provider Name | Marlyn Josey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518388727 PECOS PAC ID: 1355694340 Enrollment ID: I20181020000492 |
| Provider Name | Efemwonyi Jesuorobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760835003 PECOS PAC ID: 7214202902 Enrollment ID: I20181121000815 |
| Provider Name | Olga Varnacheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952815771 PECOS PAC ID: 4981948452 Enrollment ID: I20181211000541 |
| Provider Name | Richard Roselli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871873554 PECOS PAC ID: 9739432527 Enrollment ID: I20181231000244 |
| Provider Name | Srijana Poudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606009 PECOS PAC ID: 4183991060 Enrollment ID: I20190108000146 |
| Provider Name | Titus Koimur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821560525 PECOS PAC ID: 3375882970 Enrollment ID: I20190226001416 |
| Provider Name | Stecy A Ola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204528 PECOS PAC ID: 2163645268 Enrollment ID: I20190430001938 |
| Provider Name | Rajni Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376011346 PECOS PAC ID: 7810230836 Enrollment ID: I20190515000475 |
| Provider Name | Ndubuisi I Okoroafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831659002 PECOS PAC ID: 4385977214 Enrollment ID: I20190610000583 |
| Provider Name | Ramona White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679060925 PECOS PAC ID: 1153655352 Enrollment ID: I20190621001943 |
| Provider Name | Jennifer Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942209069 PECOS PAC ID: 5890741532 Enrollment ID: I20190625000883 |
| Provider Name | Kim M Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407042336 PECOS PAC ID: 7810149242 Enrollment ID: I20190712000598 |
| Provider Name | Oluwatosin Fanimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538724604 PECOS PAC ID: 0446585020 Enrollment ID: I20190719000474 |
| Provider Name | Banis Githinji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922585462 PECOS PAC ID: 4789915760 Enrollment ID: I20191004001852 |
| Provider Name | Momoh Makieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376198697 PECOS PAC ID: 6204167430 Enrollment ID: I20191023000099 |
| Provider Name | Jacqueline D Wichern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053813105 PECOS PAC ID: 2062776677 Enrollment ID: I20191111000539 |
| Provider Name | Peggy Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922667773 PECOS PAC ID: 1355774647 Enrollment ID: I20191126002742 |
| Provider Name | Valthea Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437697141 PECOS PAC ID: 5092149922 Enrollment ID: I20191230002207 |
| Provider Name | Janet Abimwo Gang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679062046 PECOS PAC ID: 2466706957 Enrollment ID: I20200116000461 |
| Provider Name | Cecilia L Bibio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316504301 PECOS PAC ID: 7517399892 Enrollment ID: I20200219001666 |
| Provider Name | Landry Deuboue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013337252 PECOS PAC ID: 1759503162 Enrollment ID: I20200306000344 |
| Provider Name | Siyami Takha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760995021 PECOS PAC ID: 7911335658 Enrollment ID: I20200312000478 |
| Provider Name | Bilikisu Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689213050 PECOS PAC ID: 5890124879 Enrollment ID: I20200327000313 |
| Provider Name | Jihyun Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346886850 PECOS PAC ID: 0042649378 Enrollment ID: I20200407002162 |
| Provider Name | Vicky Deuboue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881064137 PECOS PAC ID: 2668772799 Enrollment ID: I20200407004021 |
| Provider Name | Angel Vivian Mbome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811250905 PECOS PAC ID: 3072944297 Enrollment ID: I20200504000083 |
| Provider Name | Halimat Akojie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356641708 PECOS PAC ID: 4385819986 Enrollment ID: I20200515001084 |
| Provider Name | Doris Chinyere Abii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184987869 PECOS PAC ID: 3870910235 Enrollment ID: I20200831001987 |
| Provider Name | Kendyl Kradz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376154344 PECOS PAC ID: 2466870423 Enrollment ID: I20200908003369 |
| Provider Name | Jessica Whittemore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568894012 PECOS PAC ID: 6709113699 Enrollment ID: I20200922000777 |
| Provider Name | Emily L Missimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801031828 PECOS PAC ID: 7911137179 Enrollment ID: I20200924003532 |
| Provider Name | Amy Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992340970 PECOS PAC ID: 5294620464 Enrollment ID: I20201125001081 |
| Provider Name | Sini Eapen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184246787 PECOS PAC ID: 9537588629 Enrollment ID: I20201209002912 |
| Provider Name | Chinyere Uzoukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053945618 PECOS PAC ID: 7113339433 Enrollment ID: I20201210000878 |
| Provider Name | Judy Versola Russo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912274937 PECOS PAC ID: 9739593252 Enrollment ID: I20210126000912 |
| Provider Name | Alusine Bernard Kabia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588251128 PECOS PAC ID: 3173937406 Enrollment ID: I20210203002397 |
| Provider Name | Yael E Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164029823 PECOS PAC ID: 0345655544 Enrollment ID: I20210222001691 |
| Provider Name | Muni Gwanyebit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548871106 PECOS PAC ID: 7113334400 Enrollment ID: I20210405000243 |
| Provider Name | Alnora L Brassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700346467 PECOS PAC ID: 0446673172 Enrollment ID: I20210406001024 |
| Provider Name | Bridget Ntungwen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063955854 PECOS PAC ID: 3476960600 Enrollment ID: I20210407000013 |
| Provider Name | Nancy Stauffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053998872 PECOS PAC ID: 8224446224 Enrollment ID: I20210413001290 |
| Provider Name | Cyril Morfaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972865764 PECOS PAC ID: 1759799547 Enrollment ID: I20210415002072 |
| Provider Name | Blessing Ohwaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568089365 PECOS PAC ID: 3870901689 Enrollment ID: I20210415002539 |
| Provider Name | Sandrine Noutchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447510375 PECOS PAC ID: 9335557024 Enrollment ID: I20210419000997 |
| Provider Name | Toni Fife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619577566 PECOS PAC ID: 0446669675 Enrollment ID: I20210429001102 |
| Provider Name | Carole Tchatchoua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447718549 PECOS PAC ID: 2466861356 Enrollment ID: I20210505001302 |
| Provider Name | Shannon Shifflett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811173099 PECOS PAC ID: 5395154215 Enrollment ID: I20210506000072 |
| Provider Name | Mahvash Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013129295 PECOS PAC ID: 0042499733 Enrollment ID: I20210603002846 |
| Provider Name | Maseray Bayoh Sensie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376124420 PECOS PAC ID: 4688074784 Enrollment ID: I20210610003473 |
| Provider Name | Vincent Uzegbulem Ezedike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689216954 PECOS PAC ID: 1153744461 Enrollment ID: I20210614000567 |
| Provider Name | Kelly Amike Ngenge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689286197 PECOS PAC ID: 6608296546 Enrollment ID: I20210616003404 |
| Provider Name | Julia Hn Freed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629645361 PECOS PAC ID: 0143621649 Enrollment ID: I20210622000591 |
| Provider Name | Obioma Nwaobilor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548896020 PECOS PAC ID: 2567865595 Enrollment ID: I20210728000940 |
| Provider Name | Jillian Kedich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235701848 PECOS PAC ID: 2567865512 Enrollment ID: I20210728002413 |
| Provider Name | Shontel M Gaskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942828082 PECOS PAC ID: 3072920099 Enrollment ID: I20210729000252 |
| Provider Name | Denetra Gary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700338886 PECOS PAC ID: 7113204579 Enrollment ID: I20210802001766 |
| Provider Name | Jennifer Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861632176 PECOS PAC ID: 6103221098 Enrollment ID: I20210816001194 |
| Provider Name | Amanda M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144372541 PECOS PAC ID: 7618141466 Enrollment ID: I20210921000783 |
| Provider Name | Evelyn Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073280525 PECOS PAC ID: 5890192751 Enrollment ID: I20210921000976 |
| Provider Name | Ngozi Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801495270 PECOS PAC ID: 4385042399 Enrollment ID: I20211005003492 |
| Provider Name | Adedayo Omobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003497215 PECOS PAC ID: 6800185257 Enrollment ID: I20211007002490 |
| Provider Name | Lilian Adamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174106991 PECOS PAC ID: 1153729520 Enrollment ID: I20211015001021 |
| Provider Name | Marcia Heap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063176469 PECOS PAC ID: 7315335866 Enrollment ID: I20211102002505 |
| Provider Name | Geraldine Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922394584 PECOS PAC ID: 5890964779 Enrollment ID: I20211105001993 |
| Provider Name | Olakunle Idris Ayanwale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518314681 PECOS PAC ID: 0840689949 Enrollment ID: I20211111000048 |
| Provider Name | Hannah L Ngale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386282937 PECOS PAC ID: 9537559992 Enrollment ID: I20211130000609 |
| Provider Name | Cheriann Menges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922663509 PECOS PAC ID: 5496145005 Enrollment ID: I20211214000049 |
| Provider Name | Immaculata Okonkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700443157 PECOS PAC ID: 6608267265 Enrollment ID: I20211220000060 |
| Provider Name | Eden D Shumbulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619639333 PECOS PAC ID: 2466843255 Enrollment ID: I20220105002517 |
| Provider Name | Goodness Ebiringa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760029789 PECOS PAC ID: 2961893763 Enrollment ID: I20220112000072 |
| Provider Name | Virginia W Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720662711 PECOS PAC ID: 8729471578 Enrollment ID: I20220131002183 |
| Provider Name | Martin Atta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811570005 PECOS PAC ID: 0345638813 Enrollment ID: I20220204000006 |
| Provider Name | Kacie M Marenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790382109 PECOS PAC ID: 4284044975 Enrollment ID: I20220224000330 |
| Provider Name | Miriane Nguele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285083816 PECOS PAC ID: 8729473426 Enrollment ID: I20220316001721 |
| Provider Name | Newman Azubuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043766 PECOS PAC ID: 4385039650 Enrollment ID: I20220323002000 |
| Provider Name | Bolatito Owolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356944136 PECOS PAC ID: 4486040516 Enrollment ID: I20220329002564 |
| Provider Name | Sheila Rohe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972936516 PECOS PAC ID: 3072907161 Enrollment ID: I20220330002437 |
| Provider Name | Anita L Tyndall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649870627 PECOS PAC ID: 7214336510 Enrollment ID: I20220408002348 |
| Provider Name | Esi Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114533346 PECOS PAC ID: 7012304090 Enrollment ID: I20220421000263 |
| Provider Name | Doris Ansah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285391136 PECOS PAC ID: 8123414414 Enrollment ID: I20220426000213 |
| Provider Name | Olanrewaju Oludotun Onifade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881362515 PECOS PAC ID: 2860889334 Enrollment ID: I20220502001513 |
| Provider Name | Teresa Gieron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618683 PECOS PAC ID: 7214297324 Enrollment ID: I20220601000245 |
| Provider Name | Ann Maria Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962150680 PECOS PAC ID: 5193112449 Enrollment ID: I20220604000378 |
| Provider Name | Divine Ticha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750649554 PECOS PAC ID: 2365821063 Enrollment ID: I20220627003497 |
| Provider Name | Racheal Torcisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801352000 PECOS PAC ID: 9739429374 Enrollment ID: I20220721003520 |
| Provider Name | Kerenhappuch Akumah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194311308 PECOS PAC ID: 1850789041 Enrollment ID: I20220726001918 |
| Provider Name | Opemipo Ogeyingbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033868153 PECOS PAC ID: 9537540869 Enrollment ID: I20220727003802 |
| Provider Name | Maragaret Arotimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699420448 PECOS PAC ID: 2466833207 Enrollment ID: I20220728003148 |
| Provider Name | Michele Kyle Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063158723 PECOS PAC ID: 5698158624 Enrollment ID: I20220823004273 |
| Provider Name | Sean C Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346897576 PECOS PAC ID: 5698150407 Enrollment ID: I20220915000178 |
| Provider Name | Petra Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811245665 PECOS PAC ID: 1456737584 Enrollment ID: I20220927003171 |
| Provider Name | Evelyne J Makany Ndzana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215518089 PECOS PAC ID: 8921484999 Enrollment ID: I20220929000711 |
| Provider Name | Christeena Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164963963 PECOS PAC ID: 0547546244 Enrollment ID: I20221004003547 |
| Provider Name | Leslie Ann Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134877525 PECOS PAC ID: 2062896764 Enrollment ID: I20221012000535 |
| Provider Name | Angenette C Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780318519 PECOS PAC ID: 4183090319 Enrollment ID: I20221013000635 |
| Provider Name | Judith B Tangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003437377 PECOS PAC ID: 8628497765 Enrollment ID: I20221014000457 |
| Provider Name | Taylor Slaght |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780838300 PECOS PAC ID: 7012385966 Enrollment ID: I20221125000319 |
| Provider Name | Marja Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437670072 PECOS PAC ID: 5698145928 Enrollment ID: I20230103001806 |
| Provider Name | Siphra N Mukoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477289619 PECOS PAC ID: 7416327853 Enrollment ID: I20230104000035 |
| Provider Name | Pamela June Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255666236 PECOS PAC ID: 9638214265 Enrollment ID: I20230227002685 |
| Provider Name | Mercy A Sekyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013614189 PECOS PAC ID: 1658744362 Enrollment ID: I20230302000805 |
| Provider Name | Nacobi Yvonne Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669003802 PECOS PAC ID: 4183020118 Enrollment ID: I20230307000745 |
| Provider Name | Aruna Ikharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285368969 PECOS PAC ID: 8921471053 Enrollment ID: I20230310000215 |
| Provider Name | Julia Selah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912334269 PECOS PAC ID: 1052784766 Enrollment ID: I20230331000677 |
| Provider Name | Bobbi Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720386030 PECOS PAC ID: 2466638515 Enrollment ID: I20230403001272 |
| Provider Name | Anita Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467150326 PECOS PAC ID: 1254796212 Enrollment ID: I20230426000348 |
| Provider Name | Sunday Ayodele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063137156 PECOS PAC ID: 6608231642 Enrollment ID: I20230427001027 |
| Provider Name | Albert Dzati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134477664 PECOS PAC ID: 8426413386 Enrollment ID: I20230427001519 |
| Provider Name | Giovanna Happy Tchouanto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023773819 PECOS PAC ID: 4183089089 Enrollment ID: I20230428000169 |
| Provider Name | Adobea Asiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724623 PECOS PAC ID: 7416235288 Enrollment ID: I20230501002172 |
| Provider Name | Musediq Lawal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336854678 PECOS PAC ID: 3476918343 Enrollment ID: I20230518000672 |
| Provider Name | Francoise S Tabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013679570 PECOS PAC ID: 0042676959 Enrollment ID: I20230519000059 |
| Provider Name | Robert Buncher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013133610 PECOS PAC ID: 0547626251 Enrollment ID: I20230523002164 |
| Provider Name | Lachawnda Szudlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982832705 PECOS PAC ID: 4284091711 Enrollment ID: I20230530000086 |
| Provider Name | Fatmata L Bah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457079618 PECOS PAC ID: 4789042128 Enrollment ID: I20230616002027 |
| Provider Name | Victor Nwagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215637863 PECOS PAC ID: 2163897422 Enrollment ID: I20230623002816 |
| Provider Name | Amanda Lindsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285324046 PECOS PAC ID: 0446619316 Enrollment ID: I20230711000137 |
| Provider Name | Adebola A Sonuga-britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134838907 PECOS PAC ID: 2567823412 Enrollment ID: I20230725003493 |
| Provider Name | Amaechi Egbujuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386376051 PECOS PAC ID: 0648647552 Enrollment ID: I20230726002982 |
| Provider Name | Mohammad Alhalabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194427328 PECOS PAC ID: 9335514892 Enrollment ID: I20230727000912 |
| Provider Name | Ermagean H Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518046176 PECOS PAC ID: 4284733668 Enrollment ID: I20230801000098 |
| Provider Name | Michelle Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841721891 PECOS PAC ID: 0840565289 Enrollment ID: I20230825001208 |
| Provider Name | Prosperlyn Alieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780314971 PECOS PAC ID: 5890158406 Enrollment ID: I20230901001354 |
| Provider Name | Risikat A Afolabi-zannu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336805084 PECOS PAC ID: 2567721913 Enrollment ID: I20230920000340 |
| Provider Name | Alynda Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386177673 PECOS PAC ID: 1153793088 Enrollment ID: I20230928002216 |
| Provider Name | Deborah A Hedges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174269419 PECOS PAC ID: 2961713094 Enrollment ID: I20230929000955 |
| Provider Name | Abdelouhab Khelalfa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992485767 PECOS PAC ID: 5991150377 Enrollment ID: I20231005001905 |
| Provider Name | Amy Michelle Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790135283 PECOS PAC ID: 7214222397 Enrollment ID: I20231013001917 |
| Provider Name | Elaine S Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780156521 PECOS PAC ID: 6800204629 Enrollment ID: I20231106000873 |
| Provider Name | Rebecca Timbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003533431 PECOS PAC ID: 7810345493 Enrollment ID: I20231214000498 |
| Provider Name | Leonardo Vando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225007271 PECOS PAC ID: 5597771444 Enrollment ID: I20240118003617 |
| Provider Name | Cheryl Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932512035 PECOS PAC ID: 4183077308 Enrollment ID: I20240124001724 |
| Provider Name | Alexandra Coughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629379672 PECOS PAC ID: 6103272836 Enrollment ID: I20240208000431 |
| Provider Name | Rachel Suk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932829637 PECOS PAC ID: 6002250941 Enrollment ID: I20240226000104 |
| Provider Name | Alice Nkongtu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083975619 PECOS PAC ID: 0941648257 Enrollment ID: I20240417003651 |
| Provider Name | Jeanne Abla Dossou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144573346 PECOS PAC ID: 7416394705 Enrollment ID: I20240501001460 |
| Provider Name | Olufunke Abimbola Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669134094 PECOS PAC ID: 9234570797 Enrollment ID: I20240515000787 |
Luna Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8720 Georgia Ave Ste 205, Silver Spring, MD 20910 Phone: 301-679-6033 Fax: 888-552-0363 | |
Heartforza Mental Wellness & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11320 King George Dr, Silver Spring, MD 20902 Phone: 571-356-9626 | |
Medstar Medical Group Ii Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 N Leisure World Blvd, Silver Spring, MD 20906 Phone: 301-598-1590 | |
Pinnacle Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13244 Musicmaster Dr, Silver Spring, MD 20904 Phone: 340-370-8705 | |
Stepping Stone Treatment Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9652 Mt. Pisgah Road, Silver Spring, MD 20903 Phone: 301-445-4250 | |
Threshold Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1398 Lamberton Dr, Silver Spring, MD 20902 Phone: 301-754-1102 Fax: 301-754-1690 | |
A Village Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Pershing Dr Ste 202, Silver Spring, MD 20910 Phone: 301-328-7162 |