Individual provider Active NPI

Monica Mba

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1467099663
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R168429 Issued in MD
Practice address
8600 La Salle Rd Ste 321
Towson, MD 21286-2011
Phone
(410) 328-1219
NPI assigned
Dec 6, 2019
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R168429 MD Primary

Addresses

Primary practice location

8600 La Salle Rd Ste 321
Towson, MD 21286-2011

Mailing address

304 Loganwood CT
Joppa, MD 21085-3004
Phone (443) 695-2807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200401000146 MD Practitioner - Nurse Practitioner 6204265903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

304 Loganwood CT
Joppa, MD 21085-3004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R168429MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livinghope Health Services LLC CurrentSince Jan 1, 2021 Accepting new patients
Angel Hands Behavioral Health CurrentSince Mar 18, 2020 Accepting new patients

Locations

6600 York Rd
Ste 207
Baltimore, MD 21212
Phone (410) 561-6241

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1467099663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LOGANWOOD CT",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853004",
            "telephone_number": "443-695-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LA SALLE RD STE 321",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862011",
            "telephone_number": "410-328-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBA",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R168429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.