Active NPI
Aultimate Dimension Behavioral Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1417654682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- AULTIMATE DIMENSION BEHAVIORAL HEALTH SERVICES LLC
- Practice address
- 330 W 24TH St
Baltimore, MD 21211-3216 - Phone
- (443) 400-3244
- NPI assigned
- Feb 8, 2023
- Last updated
- Mar 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faustine Anakaraonye, PMHNP
- Title
- Owner
- Phone
- (443) 400-3244
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
330 W 24TH St
Baltimore, MD 21211-3216
Mailing address
330 W 24TH St
Baltimore, MD 21211-3216
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1114687795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677715200000",
"number": "1417654682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 24TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212113216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 24TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212113216",
"telephone_number": "443-400-3244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AULTIMATE DIMENSION BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-08",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "ANAKARAONYE",
"authorized_official_first_name": "FAUSTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-400-3244",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.