Active NPI
Joy Chyddy Umeobi
- Psychiatric/Mental Health Nurse Practitioner
- Bowie, MD
National Provider Identifier
1346832649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN194450
- Practice address
- 12222 Kingswell St
Bowie, MD 20721-1952 - Phone
- (240) 393-6770
- NPI assigned
- Feb 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN194450 | MD | Primary |
Addresses
Primary practice location
12222 Kingswell St
Bowie, MD 20721-1952
Mailing address
12222 Kingswell St
Bowie, MD 20721-1952
Phone (240) 393-6770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN194450 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group LLC | Single Specialty | Current | Accepting new patients |
| Supportive Care of Maryland LLC | Single Specialty | Current | Accepting new patients |
| Care Now Clinic LLC | Single Specialty | Current | Accepting new patients |
Locations
6310 Stevens Forest Rd
Columbia, MD 21046
Phone (410) 740-3240
6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046
Phone (410) 245-2414
9318 Gaither Rd
Ste 245
Gaithersburg, MD 20877
Phone (301) 367-1533
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 3
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": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1346832649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12222 KINGSWELL ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207211952",
"telephone_number": "240-393-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 KINGSWELL ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207211952",
"telephone_number": "240-393-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMEOBI",
"first_name": "JOY",
"middle_name": "CHYDDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "RN194450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.