Resilience Behavioral Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RESILIENCE BEHAVIORAL HEALTH, LLC

Practice address

600 Reisterstown Rd Ste 302
Pikesville, MD 21208-5106

Phone

(301) 792-1433

Fax

(443) 241-7250

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Christiana N IkomeNPI 1043682685

Title

Owner/Ceo

Phone

(301) 792-1433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Christiana N Ikome, NP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1043682685
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1508514779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10823 SHERWOOD HILL RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175826",
            "telephone_number": "301-792-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REISTERSTOWN RD STE 302",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085106",
            "telephone_number": "301-792-1433",
            "fax_number": "443-241-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10823 Sherwood Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175826",
            "country_code": "US",
            "telephone_number": "301-792-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESILIENCE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "IKOME",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "301-792-1433"
    },
    "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": []
}

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• Providers in Pikesville, 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 Mar 16, 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.