Organization Active NPI

Miva Mental Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1386487643
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIVA MENTAL HEALTHCARE
Practice address
1614 Nordic Hill Cir
Silver Spring, MD 20906-5927
Phone
(409) 356-9778
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Akouvi Dzigbodi Amouzouvi-ABA, NPNPI 1770204380
Title
Owner
Phone
(409) 356-9778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1614 Nordic Hill Cir
Silver Spring, MD 20906-5927

Mailing address

1614 Nordic Hill Cir
Silver Spring, MD 20906-5927
Phone (409) 356-9778

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1386487643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 NORDIC HILL CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065927",
            "telephone_number": "409-356-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 NORDIC HILL CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065927",
            "telephone_number": "409-356-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIVA MENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "AMOUZOUVI-ABA",
        "authorized_official_first_name": "AKOUVI",
        "authorized_official_middle_name": "DZIGBODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-356-9778",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.