NPIMap

Organization Active NPI

Izyhealthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, MD
National Provider Identifier
1548050107
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IZYHEALTHCARE
Practice address
12774 Wisteria Dr # 353
Germantown, MD 20874-9998
Phone
(240) 813-0304
Fax
(641) 206-7158
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Izeku Iziegbe Ekatah, CRNP-PMHNPNPI 1619699881
Title
Ceo
Phone
(240) 865-3144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

12774 Wisteria Dr # 353
Germantown, MD 20874-9998

Mailing address

12774 Wisteria Dr # 353
Germantown, MD 20874-9998
Phone (240) 865-3144

National Provider Directory

National Provider Directory

Locations

12774 Wisteria Dr
#353
Germantown, MD 20874
Phone (240) 813-0304

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1548050107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR # 353",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208749998",
            "telephone_number": "240-865-3144",
            "fax_number": "877-365-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR # 353",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208749998",
            "telephone_number": "240-813-0304",
            "fax_number": "641-206-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZYHEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "EKATAH",
        "authorized_official_first_name": "IZEKU",
        "authorized_official_middle_name": "IZIEGBE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-865-3144",
        "authorized_official_credential": "CRNP-PMHNP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.