Individual provider Active NPI

Michael Nwandu, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville, MD
National Provider Identifier
1053961987
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R133615 Issued in MD
Practice address
1301 York Rd Ste 601
Lutherville, MD 21093-6009
Phone
(443) 442-4818
Fax
(410) 650-9053
NPI assigned
Sep 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 R133615 MD Primary

Addresses

Primary practice location

1301 York Rd Ste 601
Lutherville, MD 21093-6009

Mailing address

1301 York Rd Ste 601
Lutherville, MD 21093-6009
Phone (443) 442-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200710001243 MD Practitioner - Nurse Practitioner 6800219783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 York Rd
Suite 601
Lutherville, MD 21093-6009
Phone (443) 501-2444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R133615MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Nwandu DNP, Pmhnp-BC, LLC CurrentSince Mar 1, 2021 Accepting new patients
Michael Nwandu DNP, Pmhnp-BC CurrentSince Oct 27, 2024 Accepting new patients
Harmony Counceling Center Inc CurrentSince Mar 18, 2020 Accepting new patients

Locations

1301 York Rd
Ste 601
Lutherville, MD 21093
Phone (443) 442-4818

7939 Honeygo Blvd
Ste 224
Nottingham, MD 21236
Phone (410) 933-3700

Organizations & group practices 3

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1053961987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 601",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936009",
            "telephone_number": "443-442-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 601",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936009",
            "telephone_number": "443-442-4818",
            "fax_number": "410-650-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANDU",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R133615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.