Prevail Healthcare Services, LLC

Primary specialty

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

Legal business name

PREVAIL HEALTHCARE SERVICES, LLC

Practice address

8641 Loch Raven Blvd Ste 2C
Towson, MD 21286-2311

Phone

(410) 513-7750

Fax

(410) 513-7750

NPI assigned

Jan 24, 2017

Last updated

Sep 15, 2022By 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

Mrs. Christianah B Egiefameh, PMHNPNPI 1790328268

Title

President

Phone

(443) 630-1567

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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.

• Christianah Bosede Egiefameh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1790328268
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1275070633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 ROSSVILLE BLVD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373741",
            "telephone_number": "443-630-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 LOCH RAVEN BLVD STE 2C",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862311",
            "telephone_number": "410-513-7750",
            "fax_number": "410-513-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 Rossville Blvd",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212373741",
            "country_code": "US",
            "telephone_number": "436-301-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREVAIL HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2022-09-15",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "EGIEFAMEH",
        "authorized_official_first_name": "CHRISTIANAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-630-1567",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3996",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rosedale",
            "affiliation": "N",
            "address_1": "7515 Rossville Blvd",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212373741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Parkville",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "8641 Loch Raven Blvd Ste 2C",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212862311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zari Saran Press, MA
• Michael David Pressel, M.D.
• Pressley Ridge
• Samantha A Preston, L.AC.
• Rebecca Deborah Pretter
• Emily Prevas
• Susan Vester Prevas, M.D.
• William P Prevas, M.D.
• Amy Price, SLP
• Amy Joy Price, M.A., L.C.P.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Towson, MD
• Providers in Towson, 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 Sep 15, 2022; 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.

Verify at the official NPI Registry.