Individual provider Active NPI

Adora Nancy Bosah, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, MD
National Provider Identifier
1386109346
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R191981 Issued in MD
Practice address
5010 Regency PL
White Plains, MD 20695-3088
Phone
(240) 427-3554
NPI assigned
Feb 4, 2019
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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 R191981 MD Primary

Addresses

Primary practice location

5010 Regency PL
White Plains, MD 20695-3088

Mailing address

5010 Regency PL
White Plains, MD 20695-3088
Phone (240) 427-3554

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190523000836 MD Practitioner - Nurse Practitioner 3870836497 Reassigns benefits to 3 organizations
I20190906000345 DC Practitioner - Nurse Practitioner 3870836497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cross Behavioral ConsultingGroup PAC ID 8123445194, 5 clinicians
Qci Behavioral Health Consulting Group, LLCGroup PAC ID 3971665969, 18 clinicians

Practice addresses (Care Compare)

2670 Crain Hwy
Suite 106
Waldorf, MD 20601-2820
Phone (301) 374-8772

9475 Lottsford Rd
Suite 250
Largo, MD 20774-5346
Phone (301) 636-6504

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Qci Behavioral Health Consulting Group, LLC CurrentSince Dec 31, 2019 Accepting new patients
Qualitycare Internet, LLP CurrentSince Jul 27, 2019 Accepting new patients
Asten Nursing and Behavioral Health LLC Psychiatric/Mental Health CurrentSince Aug 1, 2021 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Jun 1, 2019 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients
Cross Behavioral Consulting LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1831 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 268-9400

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (205) 593-7605

604 S Frederick Ave
Ste 211
Gaithersburg, MD 20877
Phone (301) 330-6470

201 N Burhans Blvd
Hagerstown, MD 21740
Phone (301) 791-2660

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone 4108236408104

9475 Lottsford Rd
Ste 250
Upper Marlboro, MD 20774
Phone (301) 636-6504

Organizations & group practices 8

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1386109346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 REGENCY PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953088",
            "telephone_number": "240-427-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 REGENCY PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953088",
            "telephone_number": "240-427-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSAH",
        "first_name": "ADORA",
        "middle_name": "NANCY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R191981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.