Active NPI
Anthopadua Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1205660149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ANTHOPADUA HEALTH SERVICES
- Practice address
- 940 Madison Ave Ste 102
Baltimore, MD 21201-2113 - Phone
- (410) 905-3767
- NPI assigned
- Aug 30, 2024
- Last updated
- Sep 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Collette Omorogbe
- Title
- Owner
- Phone
- (410) 905-3767
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
940 Madison Ave Ste 102
Baltimore, MD 21201-2113
Mailing address
917 Ridgecrest Way
Bel Air, MD 21015-6385
Phone (410) 905-3767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
940 Madison Ave
Ste 102
Baltimore, MD 21201
Phone (410) 905-3767
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1922882232
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1386161677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1205660149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 RIDGECREST WAY",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156385",
"telephone_number": "410-905-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 MADISON AVE STE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012113",
"telephone_number": "410-905-3767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHOPADUA HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "OMOROGBE",
"authorized_official_first_name": "COLLETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-905-3767"
},
"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": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.