Douglas Nana Brobbey

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R223153 Issued in MD

Practice address

3000 N Ridge Rd
Ellicott City, MD 21043-3311

Phone

(410) 461-7577

NPI assigned

Mar 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment Care Compare group
• Toller Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC

  Medicare reassignment Care Compare group
• Hope Mental Health & Family Healthcare Services , LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Severn, MD
  • NPI 1194590992
  NPD Authorized official
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1598524308
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856
  NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1467152256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 WILLARD WAY",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211446831",
            "telephone_number": "301-675-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433311",
            "telephone_number": "410-461-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBBEY",
        "first_name": "DOUGLAS",
        "middle_name": "NANA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MD",
            "license": "R223153",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Ellicott City, MD
• Providers in Ellicott City, 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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.