Effulgence Mental & Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EFFULGENCE MENTAL & BEHAVIORAL HEALTH LLC

Practice address

9500 Medical Center Dr Ste 270
Largo, MD 20774-3709

Phone

(877) 306-2758

Fax

(877) 306-2754

NPI assigned

Jan 10, 2024

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ifeoma Irokwe, PMHNPNPI 1013554617

Title

President

Phone

(972) 900-3652

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ifeoma Nwakaego Irokwe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Largo, MD
  • NPI 1013554617
  Authorized official Same address or phone

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1215708045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 DUSTYWOOD DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716783",
            "telephone_number": "972-900-3652",
            "fax_number": "877-306-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 270",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743709",
            "telephone_number": "877-306-2758",
            "fax_number": "877-306-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFULGENCE MENTAL & BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "IROKWE",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-900-3652",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Uwanaka Ebonine, PA-C
• Bernadine Eburuoh
• Polycarp Eburuoh
• Jelesia Edwards, CNM
• Ocelia Edwards, PA
• Ufuoma Onome Egurefa
• Hamza El Ayadi
• Elevatecare DME LLC
• Elevated Minds LLC
• Kristina M Eley, MD

• Psychiatric/Mental Health Nurse Practitioner in Largo, MD
• Providers in Largo, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.