NPIMap

Organization Active NPI

Suuna CHI Healthcare Services, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Baltimore, MD
National Provider Identifier
1295334506
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
SUUNA CHI HEALTHCARE SERVICES, LLC
Practice address
6609 Reisterstown Rd Ste 201
Baltimore, MD 21215-2634
Phone
(301) 604-4830
NPI assigned
Oct 19, 2020
Organization subpart
Yes
Parent organization
SUUNA CHI HEALTHCARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Florence A Nwana, NPNPI 1023443652
Title
Owner
Phone
(443) 803-5391

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)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

6609 Reisterstown Rd Ste 201
Baltimore, MD 21215-2634

Mailing address

13639 Baltimore Ave
Laurel, MD 20707-5095
Phone (301) 604-4830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112000183 MD Part B Supplier - Clinic/Group Practice 5395007801 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Suuna CHI Healthcare SVCS4 organizations share this tax ID, including this one
Part of
Suuna CHI Healthcare SVCS

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6609 Reisterstown Rd
Ste 201
Baltimore, MD 21215
Phone (301) 604-4830

6605 Reisterstown Rd
#201
Baltimore, MD 21215

6605 Reisterstown Rd
Ste 201
Baltimore, MD 21215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1295334506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13639 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075095",
            "telephone_number": "301-604-4830",
            "fax_number": "301-604-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 REISTERSTOWN RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152634",
            "telephone_number": "301-604-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUUNA CHI HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUUNA CHI HEALTHCARE SERVICES, LLC",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "NWANA",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-803-5391",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "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 Jul 21, 2021; 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.