Organization Active NPI

Sitas Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1023872769
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SITAS MENTAL HEALTH SERVICES
Practice address
1703 E Joppa Rd Ste a
Parkville, MD 21234-3638
Phone
(443) 234-0996
Fax
(443) 645-5863
NPI assigned
Feb 13, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Rosemary O OkpulorNPI 1649763053
Title
Pmhnp
Phone
(443) 234-0996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1703 E Joppa Rd Ste a
Parkville, MD 21234-3638

Mailing address

1703 E Joppa Rd Ste a
Parkville, MD 21234-3638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240304003627 MD Part B Supplier - Clinic/Group Practice 7113362898 Receives reassigned benefits from 1 practitioner
Practice locations: Parkville, MD

National Provider Directory

National Provider Directory

Locations

1703 E Joppa Rd
Ste A
Parkville, MD 21234
Phone (443) 234-0996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1023872769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 E JOPPA RD STE A",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E JOPPA RD STE A",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343638",
            "telephone_number": "443-234-0996",
            "fax_number": "443-645-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITAS MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "OKPULOR",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "443-234-0996"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.