Individual provider Active NPI

Ephraim Akin Makinde, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Severn, MD
National Provider Identifier
1346973062
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R223835 Issued in MD
Practice address
8508 Okeefe Dr
Severn, MD 21144-3136
Phone
(240) 421-1251
NPI assigned
Jul 9, 2022
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R223835 MD Primary

Addresses

Primary practice location

8508 Okeefe Dr
Severn, MD 21144-3136

Mailing address

8508 Okeefe Dr
Severn, MD 21144-3136
Phone (240) 421-1251

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230208002219 DC Practitioner - Nurse Practitioner 2062884695 Reassigns benefits to 4 organizations
I20230222000073 MD Practitioner - Nurse Practitioner 2062884695 Reassigns benefits to 4 organizations

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)

11720 Beltsville Dr
Suite 500
Beltsville, MD 20705-3139
Phone (240) 421-1251

200 Morgnec Rd
Chestertown, MD 21620-1026
Phone (301) 321-7741

2015 E W Hwy
Peak Healthcare at Fox Chase
Silver Spring, MD 20910-2602
Phone (202) 932-8149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Nov 12, 2023 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health CurrentSince Apr 18, 2023 Accepting new patients
Ace Behavioral and Mental Health Services LLC Psychiatric/Mental Health CurrentSince Dec 26, 2022 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health CurrentSince Apr 18, 2023 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health CurrentSince Apr 18, 2023 Accepting new patients
Della Behavioral Health Services CurrentSince Feb 20, 2023 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Sep 1, 2023 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health Current Accepting new patients
Ace Support Inc PastSince Jul 1, 2022 Accepting new patients
Ace Healthcare Services LLC PastSince Jul 1, 2022 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

11720 Beltsville Dr
Ste 500
Beltsville, MD 20705
Phone (202) 790-8903

14300 Gallant Fox Ln
Ste 202
Bowie, MD 20715
Phone (202) 932-8149

200 Morgnec Rd
Chestertown, MD 21620
Phone (410) 778-1330

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

2015 E West Hwy
Silver Spring, MD 20910
Phone (202) 932-8149

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1346973062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 OKEEFE DR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443136",
            "telephone_number": "240-421-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 OKEEFE DR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443136",
            "telephone_number": "240-421-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINDE",
        "first_name": "EPHRAIM",
        "middle_name": "AKIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-09",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severn, MD

Sources for this page

Verify at the official NPI Registry.