Active NPI
CHI Q Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Laurel, MD
National Provider Identifier
1053079996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CHI Q WELLNESS, LLC
- Practice address
- F 8757 Cardinal Forest Cir L
Laurel, MD 20723 - Phone
- (443) 805-0357
- NPI assigned
- Dec 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abria A Ebright
- Title
- Owner
- Phone
- (443) 805-0357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
F 8757 Cardinal Forest Cir L
Laurel, MD 20723
Mailing address
9091 Snowden River Pkwy # 1116
Columbia, MD 21046-1657
National Provider Directory
National Provider DirectoryLocations
324 Main St
Unit 604
Laurel, MD 20725
Interoperability endpoints
- https://api.platform.athenahealth.com/25816/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MD
- NPI 1770256166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638835200000",
"number": "1053079996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9091 SNOWDEN RIVER PKWY # 1116",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "F 8757 CARDINAL FOREST CIR L",
"city": "LAUREL",
"state": "MD",
"postal_code": "20723",
"telephone_number": "443-805-0357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHI Q WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "EBRIGHT",
"authorized_official_first_name": "ABRIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-805-0357"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
- Chesapeake Bay Aquatic & Physical Therapy, Inc
- Chesapeake Bay Aquatic & Physical Therapy, Inc
- Chesapeake Physical & Aquatic Therapy
- Sharone Lerner Cheskis
- William Liao Chestnut, MSPT
- Elvis Y CHI, HHA
- Roseline Fuen Chia Epse Tarlishi
- Courage Chiangeh
- Divine Chiangeh, PSYCHOLOGY ASSOCIATE
- Chidera Health and Mental Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.