Practical Life Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PRACTICAL LIFE HEALTH SERVICES

Practice address

1013 Cortana CT
Severn, MD 21144-1185

Phone

(667) 842-1003

NPI assigned

Nov 9, 2022

Last updated

Nov 9, 2022By 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

Olayemi AyilegbeNPI 1487249025

Title

DNP, Pmhnp

Phone

(667) 842-1003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

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.

• Olayemi Tosin Ayilegbe

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1487249025
  Medicare reassignment NPD Authorized official
• Kelvinda Kamara, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1851641955
  NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1447968490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CORTANA CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441185",
            "telephone_number": "667-842-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CORTANA CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441185",
            "telephone_number": "667-842-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL LIFE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "AYILEGBE",
        "authorized_official_first_name": "OLAYEMI",
        "authorized_official_title_or_position": "DNP, PMHNP",
        "authorized_official_telephone_number": "667-842-1003"
    },
    "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": []
}

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• Taylar Peterson, LCSW-C
• Michelle Phebus, ATC
• Sharon Pilachowski, LCSW-C
• Jennifer Paulette Pope, FNP
• Project Chesapeake, LLC
• Project Chesapeake, LLC
• Matthew Francis Raeder, MSW, LGSW
• Philip Francis Malaya Relativo, P.T.
• Resonant Counseling & Psychotherapy Limited Liability Company

• Psychiatric/Mental Health Nurse Practitioner in Severn, MD
• Providers in Severn, 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 Nov 9, 2022; 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.