Organization Active NPI

Zenith Psychiatric & Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1144941766
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ZENITH PSYCHIATRIC & MENTAL HEALTH SERVICES
Doing business as
ZENITH PSYCHIATRIC SERVICES
Practice address
12804 Greenes Promise CT
Bowie, MD 20720-5613
Phone
(301) 346-2201
Fax
(301) 350-4676
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Olukemi R OmogokeNPI 1801365689
Title
MSN, CRNP-Pmhnp-BC
Phone
(301) 346-2201

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12804 Greenes Promise CT
Bowie, MD 20720-5613

Mailing address

12804 Greenes Promise CT
Bowie, MD 20720-5613
Phone (301) 346-2201

Other names 1

  • ZENITH PSYCHIATRIC SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228000090 DC Part B Supplier - Clinic/Group Practice 9739559253 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1144941766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12804 GREENES PROMISE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205613",
            "telephone_number": "301-346-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12804 GREENES PROMISE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205613",
            "telephone_number": "301-346-2201",
            "fax_number": "301-350-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENITH PSYCHIATRIC & MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "OMOGOKE",
        "authorized_official_first_name": "OLUKEMI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MSN, CRNP-PMHNP-BC",
        "authorized_official_telephone_number": "301-346-2201"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZENITH PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ZENITH PSYCHIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.