Individual provider Active NPI

Joy C Odinammadu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1023486263
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R119113 Issued in MD
Practice address
6400 Baltimore National Pike Ste 170a
Catonsville, MD 21228-3900
Phone
(443) 739-7947
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R119113 MD Primary

Addresses

Primary practice location

6400 Baltimore National Pike Ste 170a
Catonsville, MD 21228-3900

Mailing address

6 Ballymena CT
Catonsville, MD 21228-2452
Phone (443) 739-7947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151216001718 MD Practitioner - Nurse Practitioner 0244531234 Reassigns benefits to 1 organization
I20151222000129 DC Practitioner - Nurse Practitioner 0244531234

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Catonsville, MD 21228
Phone (410) 368-7702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R119113MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihope Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jul 6, 2022 Accepting new patients
Kraus Behavioral Health LLC Psychiatric/Mental Health Past Accepting new patients

Locations

6400 Baltimore National Pike
Ste 170A
Catonsville, MD 21228
Phone (410) 497-8315

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1023486263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BALLYMENA CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282452",
            "telephone_number": "443-739-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BALTIMORE NATIONAL PIKE STE 170A",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283900",
            "telephone_number": "443-739-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODINAMMADU",
        "first_name": "JOY",
        "middle_name": "C",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R119113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.