Individual provider Active NPI

Moise Yomb, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1215217443
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R226783 Issued in MD
Practice address
9712 Belair Rd Ste 200-202
Nottingham, MD 21236-1103
Phone
(410) 513-7577
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R226783 MD Primary

Addresses

Primary practice location

9712 Belair Rd Ste 200-202
Nottingham, MD 21236-1103

Mailing address

9712 Belair Rd Ste 200-202
Nottingham, MD 21236-1103
Phone (410) 513-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200123002025 DC Practitioner - Nurse Practitioner 0446685259 Reassigns benefits to 1 organization
I20200306000010 MD Practitioner - Nurse Practitioner 0446685259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Devoted Healthcare ServicesGroup PAC ID 0345677407, 2 clinicians

Practice addresses (Care Compare)

9712 Belair Rd
Suite 200
Nottingham, MD 21236-1112
Phone (443) 494-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Healthcare Services Psychiatric/Mental Health CurrentSince Feb 1, 2020 Accepting new patients
Care Now Clinic LLC CurrentSince Dec 27, 2019 Accepting new patients
Harmony Counceling Center Inc CurrentSince Dec 26, 2019 Accepting new patients
Centers for Behavioral Health, LLC PastSince Jan 1, 2020 Accepting new patients

Locations

1645 Ridgely St
Ste 100
Baltimore, MD 21230
Phone (301) 251-4702

9318 Gaither Rd
Ste 245
Gaithersburg, MD 20877
Phone (301) 367-1533

9712 Belair Rd
Ste 200202
Nottingham, MD 21236
Phone (410) 513-7577

7939 Honeygo Blvd
Ste 224
Nottingham, MD 21236
Phone (410) 933-3700

9712 Belair Rd
Ste 200
Nottingham, MD 21236
Phone (410) 513-7577

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1215217443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 200-202",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361103",
            "telephone_number": "410-513-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 200-202",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361103",
            "telephone_number": "410-513-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOMB",
        "first_name": "MOISE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R226783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.