Eelssen International, LLC

Primary specialty

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

Legal business name

EELSSEN INTERNATIONAL, LLC

Practice address

4200 Forbes Blvd Ste 202
Lanham, MD 20706-4829

Phone

(410) 361-0658

Fax

(410) 647-7931

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James M. Ballard, III, PHD

Title

Owner Psychologist

Phone

(410) 361-0658

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1538367669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211130281",
            "telephone_number": "410-361-0658",
            "fax_number": "410-647-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 202",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064829",
            "telephone_number": "410-361-0658",
            "fax_number": "410-647-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EELSSEN INTERNATIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BALLARD, III",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-361-0658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7308914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyunji Edward, CRNP
• Adriauna Edwards
• Janette Edwards
• Sherry M Edwards
• Nchonganyi Edwin Nkemleke
• Sylville Njimoh Efuetcha
• Katie Egan
• Mildred Ninying Egbe Eunice
• Ben Ako Egbe
• Vivian Anwulika Egbuanran, D.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lanham, MD
• Providers in Lanham, MD by specialty
• 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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.