Momoh Makieu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R198342 Issued in MD

Practice address

1451 Rockville Pike Ste 250
Rockville, MD 20852-1498

Phone

(301) 640-5288

NPI assigned

Aug 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians

Green Ridge Behavioral Health, LLCGroup PAC ID 3476685181, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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.

• Green Ridge Behavioral Health, LLC

  • Neurology Physician
  • Rockville, MD
  • NPI 1407088339

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822

  DC, Single Specialty

  Medicare reassignment NPD
• Wellspring Bridge Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1013716166

  Single Specialty

  NPD Authorized official
• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758

  Single Specialty

  NPD

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1376198697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROCKVILLE PIKE STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521498",
            "telephone_number": "240-688-3761",
            "fax_number": "240-371-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ROCKVILLE PIKE STE 250",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521498",
            "telephone_number": "301-640-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIEU",
        "first_name": "MOMOH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-04",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R198342",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R198342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Majid, OD
• Zkyah Majied
• Rakesh Makadia, M.D
• Hala Makhlouf
• Rami Makhoul, M.D.
• Shadonna Makle
• Junior Makon
• Makkda Makonen
• Raejon Lynne Makonnen, LCPC
• Grace A. Malate

• Psychiatric/Mental Health Nurse Practitioner in Rockville, MD
• Providers in Rockville, 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 May 6, 2026; 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.