M&T Healthcare Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

M&T HEALTHCARE SERVICES LLC

Practice address

9201 Edgeworth Dr Unit 3412
Capitol Heights, MD 20791-7505

Phone

(301) 735-6036

NPI assigned

Feb 16, 2024

Organization subpart

No

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

Authorized official

Name

Gladys Tombise Ekema MosasoNPI 1003423385

Title

Provider/Owner

Phone

(301) 735-6036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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.

• Gladys Tombise Ekema Mosaso, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1003423385

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1508621772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 EDGEWORTH DR UNIT 3412",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207917505",
            "telephone_number": "301-735-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 EDGEWORTH DR UNIT 3412",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207917505",
            "telephone_number": "301-735-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&T HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MOSASO",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "TOMBISE EKEMA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "301-735-6036"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Logiudice, MS,CCC-SLP
• Taneicole Michelle Lopez, DNP, APRN, FNP-C
• Elizabeth Q Luhanga, HHA
• Luminous Care Services
• Kenneth Luong
• Eunice Machie
• Lafreeda Mackey, CNA, PCA
• Marathon Health, LLC
• Maryland CVS Pharmacy LLC
• Maryland Sportscare & Rehab LLC

• All providers in Capitol Heights, MD
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.