Organization Active NPI

Mental Peace Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • York, PA
National Provider Identifier
1447995451
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTAL PEACE PSYCHIATRY LLC
Practice address
2575 Eastern Blvd Ste 212
York, PA 17402-2903
Phone
(717) 910-6769
Fax
(717) 212-2972
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Abigail Adomaa Frimpong, CRNPNPI 1023622594
Title
Owner
Phone
(347) 596-2258

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2575 Eastern Blvd Ste 212
York, PA 17402-2903

Mailing address

2575 Eastern Blvd Ste 212
York, PA 17402-2903
Phone (717) 910-6769

Other practice location 1

4 Industrial Park Dr Ste F
Waldorf, MD 20602-2757
Phone (717) 910-6769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220709000010 PA Part B Supplier - Clinic/Group Practice 7517347495 Receives reassigned benefits from 2 practitioners
Practice locations: Abington, PA; Lancaster, PA
O20240926000977 MD Part B Supplier - Clinic/Group Practice 7517347495 Receives reassigned benefits from 1 practitioner
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory

Locations

4 Industrial Park Dr
Ste F
Waldorf, MD 20602
Phone (301) 645-0093

107 N Front St
Ste 111
Harrisburg, PA 17101
Phone (717) 910-6769

2575 Eastern Blvd
Ste 212
York, PA 17402
Phone (717) 910-6769

Practitioners & affiliated clinicians

Practitioners 2

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": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1447995451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 EASTERN BLVD STE 212",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022903",
            "telephone_number": "717-910-6769",
            "fax_number": "717-212-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 EASTERN BLVD STE 212",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022903",
            "telephone_number": "717-910-6769",
            "fax_number": "717-212-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Industrial Park Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022757",
            "country_code": "US",
            "telephone_number": "717-910-6769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL PEACE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "FRIMPONG",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "ADOMAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-596-2258",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.