Ephraim Akin Makinde, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Severn, MD
NPI 1346973062 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1346973062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R223835 (MD)
- Practice address
- 8508 Okeefe Dr
Severn, MD 21144-3136 - Phone
- (240) 421-1251
- NPI assigned
- Jul 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nu Pathway Healthcare and Wellness LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230208002219 | DC | Practitioner - Nurse Practitioner | 2062884695 | Reassigns benefits to 4 organizations |
| I20230222000073 | MD | Practitioner - Nurse Practitioner | 2062884695 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R223835 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu Pathway Healthcare and Wellness LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Spiritual Healing | Psychiatric/Mental Health | Current |
Accepting new patients |
| Nu Pathway Healthcare and Wellness LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Nu Pathway Healthcare and Wellness LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Nu Pathway Healthcare and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Ace Behavioral and Mental Health Services LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Della Behavioral Health Services | Current |
Accepting new patients | |
| Toller Enterprises LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Ace Healthcare Services LLC | Past |
Accepting new patients | |
| Ace Support Inc | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R223835 | MD | Yes |
Addresses
Primary practice location
8508 Okeefe Dr
Severn, MD 21144-3136
Mailing address
8508 Okeefe Dr
Severn, MD 21144-3136
Phone (240) 421-1251
Other providers in Severn, MD
- Taisha Chalene Lockhart
- Grace Mallonee Lomax
- Precious Lum
- Ida Losenja Luma Haddison
- Lifio Lyonga
- Irum Malik
- Nafeesa Malik
- Maryland CVS Pharmacy LLC
- Maryland CVS Pharmacy, L.L.C.
- Maryland Driver Services, LLC
All providers in Severn, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.