McNolan Healthcare Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MCNOLAN HEALTHCARE SERVICES

Practice address

1330 N Sewards CT
Aberdeen, MD 21001-3955

Phone

(646) 965-0900

NPI assigned

Jun 29, 2023

Last updated

Jun 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shilla PokuaaNPI 1417455585

Title

President

Phone

(646) 965-0900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

McNolan Healthcare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McNolan Healthcare Services

  • Home Health Agency
  • Aberdeen, MD
  • NPI 1922857713
  NPD tax ID

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.

• Shilla Pokuaa, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, MD
  • NPI 1417455585
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1114604410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N SEWARDS CT",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013955",
            "telephone_number": "646-965-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N SEWARDS CT",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013955",
            "telephone_number": "646-965-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNOLAN HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "POKUAA",
        "authorized_official_first_name": "SHILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-965-0900"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnetta McFadden-Coleman
• Karen Kile McGlothlin, DDS
• Olivia McKoy-Easy McKoy-Easy, PMHNP-BC
• Jasmyn McLeod
• Michelle McNatt, CRNP
• McNolan Healthcare Services
• Medication Assisted Treatment Technologies
• Medstar Medical Group II LLC (MedStar Orthopaedic Institute at Aberdeen)
• Brenda Lynn Merrill
• Alexis Hagopian Miller, LGPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.