NPIMap

Organization Active NPI

Greater Chesapeake Health & Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1053937573
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GREATER CHESAPEAKE HEALTH & WELLNESS, LLC
Practice address
1900 E Northern Pkwy Ste T6
Baltimore, MD 21239-2120
Phone
(443) 438-6893
Fax
(443) 869-4437
NPI assigned
Jun 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Authorized official

Name
Hara Oyedeji, CRNPNPI 1497279053
Title
Psychiatric Nurse Practitioner
Phone
(732) 768-0386

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 PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1900 E Northern Pkwy Ste T6
Baltimore, MD 21239-2120

Mailing address

1900 E Northern Pkwy Ste T6
Baltimore, MD 21239-2120
Phone (443) 438-6893

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592611200000",
    "number": "1053937573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE T6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392120",
            "telephone_number": "443-438-6893",
            "fax_number": "443-869-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE T6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392120",
            "telephone_number": "443-438-6893",
            "fax_number": "443-869-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CHESAPEAKE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A",
        "authorized_official_last_name": "OYEDEJI",
        "authorized_official_first_name": "HARA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "732-768-0386",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; 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.