Eric Kowshoh Yenchi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R194744 Issued in MD

Practice address

8102 Kittama Dr
Clinton, MD 20735-3155

Phone

(240) 643-1063

NPI assigned

Sep 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Standard Healthcare Plus LLCGroup PAC ID 7810391125, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Standard Healthcare Plus LLC

  • Multi-Specialty Clinic/Center
  • Clinton, MD
  • NPI 1245050038
  Medicare reassignment Care Compare group NPD Authorized official
• Ability Healthcare Plus

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, MD
  • NPI 1730957382

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Standard Healthcare Plus LLC

  • Neurology Physician
  • Clinton, MD
  • NPI 1790357044

  DC

  Medicare reassignment NPD Authorized official
• Wellness Health Services, LLC

  • Home Health Agency
  • Washington, DC
  • NPI 1033685953
  Medicare reassignment NPD
• Amazing Love Health Services

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1437555000
  NPD (past)
• Amazing Love Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1730567991
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1346723970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 KITTAMA DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353155",
            "telephone_number": "406-431-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 KITTAMA DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353155",
            "telephone_number": "240-643-1063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 15th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024508",
            "country_code": "US",
            "telephone_number": "202-388-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENCHI",
        "first_name": "ERIC",
        "middle_name": "KOWSHOH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "DC",
            "license": "RN1022843",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1022843",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R194744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andreana Yancey, LCSW-C
• Caylynn Yao, M.D.
• Arastoo Yazdani, M.D
• John Kyle Yearick, LGPC
• Chihwen Alec Yen, D.M.D.
• Aboli Manohar Yenkar
• Christine Yingst, PA-C
• Insook Yoon, M.D.
• David Young, CRNA
• Kellie Young

• Psychiatric/Mental Health Nurse Practitioner in Clinton, MD
• Providers in Clinton, 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 Sep 1, 2021; 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.

Verify at the official NPI Registry.