Active NPI
Ebonique Katress McClinnahan, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC002863
- Practice address
- 8901 Wisconsin Ave
Bethesda, MD 20889-4701 - Phone
- (301) 295-0902
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC002863 | MD | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Bethesda, MD 20889-4701
Mailing address
3112 Belair Gate LN
Landover, MD 20785-1943
Phone (910) 797-1491
Other practice location 1
8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1117 E W Hwy
Silver Spring, MD 20910-4852
Phone (202) 360-4787
1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (202) 360-4787
8040 Georgia Ave
Suite 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787
9701 Apollo Dr
Suite 100
Upper Marlboro, MD 20774-4785
Phone (910) 797-1491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Healthcare Group | Current | Accepting new patients | |
| Restorative Behavior, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| MCS, PC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207
9701 Apollo Dr
Upper Marlboro, MD 20774
Phone (240) 487-6934
9701 Apollo Dr
Ste 100
Uppr Marlboro, MD 20774
Phone (240) 487-6934
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- Upper Marlboro, MD
- NPI 1518613264
DC, Psychiatric/Mental Health
-
dba Mindoula Health, Inc.
- Community/Behavioral Health Agency
- Silver Spring, MD
- NPI 1538717723
Psychiatric/Mental Health
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar Southern Maryland Hospital
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1114562246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 BELAIR GATE LN",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207851943",
"telephone_number": "910-797-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208894701",
"telephone_number": "301-295-0902"
}
],
"practiceLocations": [
{
"address_1": "8040 Georgia Ave Ste 170",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209104959",
"country_code": "US",
"telephone_number": "202-360-4787",
"fax_number": "202-360-4787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLINNAHAN",
"first_name": "EBONIQUE",
"middle_name": "KATRESS",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC002863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.