Vivian Ebika Orock, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Adamstown, MD
NPI 1033865126 · NPPES record last updated Feb 27, 2022
Key facts
- NPI
- 1033865126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R203942 (MD)
- Practice address
- 5528 Young Family TRL W
Adamstown, MD 21710-8933 - Phone
- (301) 326-5699
- NPI assigned
- Feb 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Global Healthcare Services LLC
Practice addresses (Care Compare)
1726 Reisterstown Rd
Suite 212
Pikesville, MD 21208-2987
Phone (443) 501-3204
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221202002546 | MD | Practitioner - Nurse Practitioner | 9638548241 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R203942 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Healthcare Services LLC | Current |
Accepting new patients | |
| Devoted Wellness and Counseling Services LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Devoted Wellness and Counseling Services LLC | Current |
Accepting new patients |
Locations
28 W Washington St
Ste 2
Hagerstown, MD 21740
Phone (301) 247-9039
1726 Reisterstown Rd
Ste 212
Pikesville, MD 21208
Phone (443) 501-3204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R203942 | MD | Yes |
Addresses
Primary practice location
5528 Young Family TRL W
Adamstown, MD 21710-8933
Mailing address
5528 Young Family TRL W
Adamstown, MD 21710-8933
Phone (301) 326-5699
Other providers in Adamstown, MD
- Catherine Rowena Lanham
- Evelyne Jeanne Makany Ndzana
- Caroline McGee
- Nesla Ngwatem
- Elvis Nkafu
- Dhruvi Patel
- Judith Simba
- Brenna Louise Snyder
- Anne A. Stokes
- Erica Adelle Summers
All providers in Adamstown, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.