Organization Active NPI

Chesapeake Integrative Mental Health and Addictions Treatment, Inc.

Doing business as CIMHAT, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Rising Sun, MD
National Provider Identifier
1316339377
Registry record updated Feb 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP013140 Issued in PA
Legal business name
CHESAPEAKE INTEGRATIVE MENTAL HEALTH AND ADDICTIONS TREATMENT, INC.
Doing business as
CIMHAT, Inc.
Practice address
46 Wilson Rd
Rising Sun, MD 21911-2213
Phone
(443) 466-2027
NPI assigned
Feb 28, 2015
Last updated
Feb 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2015

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

Authorized official

Name
Mrs. Andrea Michealena Lopez, CRNP, PMHNP-BC
Title
President
Phone
(443) 466-2027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R183798 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP013140 PA Primary

Addresses

Primary practice location

46 Wilson Rd
Rising Sun, MD 21911-2213

Mailing address

46 Wilson Rd
Rising Sun, MD 21911-2213
Phone (443) 466-2027

Other names 1

  • CIMHAT, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425081600000",
    "number": "1316339377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WILSON RD",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112213",
            "telephone_number": "443-466-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WILSON RD",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112213",
            "telephone_number": "443-466-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE INTEGRATIVE MENTAL HEALTH AND ADDICTIONS TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2015-02-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHEALENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-466-2027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R183798",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP013140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIMHAT, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rising Sun, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.