Stephen M Songonuga

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R213850 Issued in MD

Practice address

1216 Lobo CT
Abingdon, MD 21009-4302

Phone

(443) 841-6262

NPI assigned

Jan 23, 2020

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jamoy LLCGroup PAC ID 2264952357, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamoy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Abingdon, MD
  • NPI 1043024599
  Medicare reassignment Care Compare group NPD Authorized official
• Resonance Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1821765926
  Medicare reassignment NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1124658687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 LOBO CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210094302",
            "telephone_number": "443-841-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 LOBO CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210094302",
            "telephone_number": "443-841-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGONUGA",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R213850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Care LLC
• Jason A Shiflett, PT
• Victoria Grace Shogren, DPT
• Margaret Downey Simonetti, MS LCPC
• Virginia Rose Smith, CPHT
• Asheesh Sood, MD
• Specialized ABA Services LLC
• Bernadette Sroka-Franczkowski
• Taylor Mae Stager
• Angela N Stamidis, RPH

• Psychiatry Physician in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.

Verify at the official NPI Registry.