Active NPI
Britevue Mental Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Mount Airy, MD
National Provider Identifier
1083328579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BRITEVUE MENTAL HEALTH SERVICES
- Practice address
- 606 Old Vintage Run
Mount Airy, MD 21771-4048 - Phone
- (301) 377-4918
- NPI assigned
- Jan 9, 2023
- Last updated
- May 23, 2023
- 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
- Roseline Eko, PMHNP
- Title
- Pmhnp-BC
- Phone
- (301) 377-4918
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
606 Old Vintage Run
Mount Airy, MD 21771-4048
Mailing address
9722 Groffs Mill Dr
Owings Mills, MD 21117-6341
Phone (301) 377-4918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Airy, MD
- NPI 1528720356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1083328579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 GROFFS MILL DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176341",
"telephone_number": "301-377-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 OLD VINTAGE RUN",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217714048",
"telephone_number": "301-377-4918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRITEVUE MENTAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-09",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "EKO",
"authorized_official_first_name": "ROSELINE",
"authorized_official_title_or_position": "PMHNP-BC",
"authorized_official_telephone_number": "301-377-4918",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.