Upsidehealthservices LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

UPSIDEHEALTHSERVICES LLC

Practice address

14105 Clark Ave
Laurel, MD 20707-5022

Phone

(240) 521-7400

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Josephine Ifeoma Edokpayi

Title

Pmhnp-BC

Phone

(240) 521-7400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1174233308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 CLARK AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075022",
            "telephone_number": "240-521-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 CLARK AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075022",
            "telephone_number": "240-521-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDEHEALTHSERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "EDOKPAYI",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "IFEOMA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "240-521-7400"
    },
    "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": []
}

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• All providers in Laurel, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.