Madden Professional Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MADDEN PROFESSIONAL HEALTH SERVICES

Practice address

5505 1/2 Reisterstown Rd
Baltimore, MD 21215-4406

Phone

(301) 541-7178

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Miriane NgueleNPI 1285083816

Title

Owner

Phone

(301) 541-7178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriane Nguele

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1285083816

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1497528558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15502 HUMBERSIDE WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748046",
            "telephone_number": "301-541-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 1/2 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154406",
            "telephone_number": "301-541-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDEN PROFESSIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "NGUELE",
        "authorized_official_first_name": "MIRIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-541-7178"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Maczko, LCSW-C
• Teka M Mada
• Lavanya Madabusi, MD
• Ichchha Madan, M.D.
• Parvin Roya Madani, DDS
• Ann R Madden, CRNA
• Casie Madden
• Francine Dorothea Madden
• Alison M Maddox
• Asia Maddox

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 1, 2023; 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.