Calvary Psychiatric Services

Primary specialty

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

Legal business name

CALVARY PSYCHIATRIC SERVICES

Practice address

1450 Mercantile LN Ste 243
Upper Marlboro, MD 20774-5464

Phone

(240) 761-3886

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Obinna Chukwuebuka Okonkwo, CRNP-PMH

Title

Ceo

Phone

(240) 761-3886

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27078/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1174263222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 BROADLEAF DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742369",
            "telephone_number": "240-761-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN STE 243",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745464",
            "telephone_number": "240-761-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "CHUKWUEBUKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-761-3886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deloris Ann Caldwell, LCSW
• Tiara Caldwell, IBCLC
• Calix Surgical Neurophysiology LLC
• Calmembrace Health Services LLC
• Calmembrace Health Services LLC
• Tracey Calvo Clarke, M.S., CCC-SLP
• Arianna Camacho-Mendez
• Kankou Camara, CSW
• Aldith Deleta Campbell, ED.D
• Timothy Campbell

• Mental Health Clinic/Center (Including Community Mental Health Center) in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 May 30, 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.