Active NPI
Uche Fabiku
- Psychiatric/Mental Health Nurse Practitioner
- Temple Hills, MD
National Provider Identifier
1295283638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1020186
- Practice address
- 3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251 - Phone
- (301) 633-2515
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0916129 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R190895 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1020186 | DC | Primary |
Addresses
Primary practice location
3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251
Mailing address
11400 Treton CT
Upper Marlboro, MD 20774-1568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12073 Tech Rd
Suite B
Silver Spring, MD 20904-7874
Phone (301) 593-1315
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0916129 | MD | MD | Family Nurse Practitioner |
| NP1020186 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| R190895 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Current | Accepting new patients |
Locations
9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
Organizations & group practices 1
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": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1295283638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 TRETON CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 BRANCH AVE STE 404",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481251",
"telephone_number": "301-633-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABIKU",
"first_name": "UCHE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "F0916129",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R190895",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1020186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.