| Resilient Psychiatry, Llc | |
|
828 Dulaney Valley Rd Ste 12 Towson MD 21204-2822 | |
| (410) 343-9869 | |
| Not Available |
| Full Name | Resilient Psychiatry, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 828 Dulaney Valley Rd Ste 12, Towson, Maryland |
| Authorized Official Name and Position | Ashley Nicole Mckenzie (CRNP-PMH) |
| Authorized Official Contact | 4103439869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Psychiatry, Llc 126 Othoridge Rd Lutherville MD 21093-5418 Ph: (410) 707-0543 | Resilient Psychiatry, Llc 828 Dulaney Valley Rd Ste 12 Towson MD 21204-2822 Ph: (410) 343-9869 |
| NPI Number | 1508472226 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Medicare PECOS PAC ID | 1759793441 |
|---|---|
| Medicare Enrollment ID | O20201222002610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508472226 | NPI | - | NPPES |
| 1346501616 | Medicaid | MD |
| Provider Name | Susan Ouellette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720164320 PECOS PAC ID: 4880611458 Enrollment ID: I20051102000358 |
| Provider Name | Howard J Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073864203 PECOS PAC ID: 3173777166 Enrollment ID: I20130128000353 |
| Provider Name | Ashley Nicole Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346501616 PECOS PAC ID: 4688815798 Enrollment ID: I20130731000715 |
| Provider Name | Nelly Kangethe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245730514 PECOS PAC ID: 2668737149 Enrollment ID: I20180604002524 |
| Provider Name | Ruth Ogbans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407487101 PECOS PAC ID: 1557790706 Enrollment ID: I20200409000421 |
| Provider Name | Mary Ranti Alabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497347660 PECOS PAC ID: 4486063344 Enrollment ID: I20210505000362 |
| Provider Name | Carli A Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508430315 PECOS PAC ID: 5294131561 Enrollment ID: I20210913000384 |
| Provider Name | Alicia O Scott Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447407994 PECOS PAC ID: 1951708965 Enrollment ID: I20210917001297 |
| Provider Name | Jordan B Doehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881311991 PECOS PAC ID: 2264805944 Enrollment ID: I20230228000469 |
| Provider Name | Laurie B Lawhorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952054082 PECOS PAC ID: 3173978889 Enrollment ID: I20231016003680 |
| Provider Name | Richard E Suskind |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598004533 PECOS PAC ID: 4284086711 Enrollment ID: I20240119001744 |
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