Tiffany Healthcare

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TIFFANY HEALTHCARE

Practice address

100 West Rd Ste 300
Towson, MD 21204-2370

Phone

(443) 509-7036

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Maureen EdozieNPI 1881117190

Title

President

Phone

(443) 509-7036

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Ifeanyi Edozie, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1881117190

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1386466902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042370",
            "telephone_number": "443-509-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "EDOZIE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-509-7036"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Chiropractic LLC
• Eric Mbugua Thuo, MD
• Iddrisu Ahmed Tia, MD
• Stacey Thiele Tiburzi
• Alice M Tien, PHARMD
• Veronica Tilden, PSY.D
• Kenneth Tilles, O.D., P.A.
• Antoinette Michele Tillman, NP
• Lisa Baker Tillman, LCSW-C
• Mackenzie Grace Tillman

• Mental Health Clinic/Center (Including Community Mental Health Center) in Towson, MD
• Providers in Towson, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.