Ic Health Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

IC HEALTH SERVICES INC

Doing business as

IC Health Service Inc

Practice address

110 Painters Mill Rd Ste 105
Owings Mills, MD 21117-5251

Phone

(443) 620-3616

Fax

(443) 960-7963

NPI assigned

Dec 31, 2019

Last updated

Apr 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chidinma Jennifer Onyegwu, DNP, CRNP, PMHNP-BCNPI 1205271418

Title

Psychiatric Nurse Practitioner

Phone

(301) 793-0626

Specialties & licenses 1

Addresses

Other names 1

• IC Health Service Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Ic Health Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ic Health Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Pasadena, MD
  • NPI 1467349043
  NPD tax ID

Locations

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.

• Chidinma Jennifer Onyegwu, DNP,FNP-C, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Fitchburg, MA
  • NPI 1205271418

  MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1437798923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720G RITCHIE HWY STE 417",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612319",
            "telephone_number": "443-620-3616",
            "fax_number": "443-960-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 105",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175251",
            "telephone_number": "443-620-3616",
            "fax_number": "443-960-7963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Thomas Johnson Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024443",
            "country_code": "US",
            "telephone_number": "443-620-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "ONYEGWU",
        "authorized_official_first_name": "CHIDINMA",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-793-0626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IC Health Service Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IC Health Service Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aunna Elizabeth Huseman
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• Pilar Wilson Iampieri, M.S., CCC-SLP
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• Adanna Ikwuegbu
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• Oludolapo Ilori
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• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, 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 Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.