NPIMap

Individual provider Active NPI

Grace E Inyang, MD

  • Child & Adolescent Psychiatry Physician
  • Clinton, MD
National Provider Identifier
1023163037
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0061308 Issued in MD
Practice address
7801 Old Branch Ave
Suite 212
Clinton, MD 20735-1608
Phone
(301) 856-8516
NPI assigned
Jan 23, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0061308 MD
Child & Adolescent Psychiatry Physician 2084P0804X D0061308 MD Primary

Addresses

Primary practice location

7801 Old Branch Ave
Suite 212
Clinton, MD 20735-1608

Mailing address

PO Box 190
Clinton, MD 20735-0190
Phone (301) 856-8516

Other identifiers 5

IdentifierTypeStateIssuer
K1960001OtherBLUECROSSBLUESHIELD FED
2134321OtherMDIPA MAMSI OCI
230498OtherKAISER
407822501MedicaidMD
482975OtherVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0061308MDMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Psychiatric Services, LLC PastSince Apr 20, 2025 Accepting new patients
Community Counseling & Mentoring Services, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Independent Psychiatric Services, LLC PastSince Apr 27, 2025 Accepting new patients
Community Counseling & Mentoring Services,Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1023163037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207350190",
            "telephone_number": "301-856-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE",
            "address_2": "SUITE 212",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351608",
            "telephone_number": "301-856-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INYANG",
        "first_name": "GRACE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0061308",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0061308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD FED",
            "identifier": "K1960001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA MAMSI OCI",
            "identifier": "2134321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "230498",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407822501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "482975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.