Individual provider Active NPI

Chinyere Obi

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1568909620
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R185202 Issued in MD
Practice address
8508 Loch Raven Blvd
Towson, MD 21286-2354
Phone
(443) 275-2357
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R185202 MD Primary

Addresses

Primary practice location

8508 Loch Raven Blvd
Towson, MD 21286-2354

Mailing address

8508 Loch Raven Blvd
Towson, MD 21286-2354
Phone (443) 275-2357

Other practice location 1

1434 Villena Ave Apt 304
Tampa, FL 33612-5035
Phone (443) 985-4976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201231000079 MD Practitioner - Nurse Practitioner 0749693208
I20220811002373 DC Practitioner - Nurse Practitioner 0749693208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (443) 985-4976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Care Mental Health Center Inc Current Accepting new patients
Jay Care Mental Health Inc Psychiatric/Mental Health CurrentSince Jul 24, 2020 Accepting new patients
Jay Care Mental Health Inc Past Accepting new patients
Jay Care Mental Health Inc Past Accepting new patients
Jay Care Mental Health Inc Past Accepting new patients
Jay Care Mental Health Inc Past Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

8508 Loch Raven Blvd
Towson, MD 21286
Phone (410) 296-7222

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1568909620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 LOCH RAVEN BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862354",
            "telephone_number": "443-275-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 LOCH RAVEN BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862354",
            "telephone_number": "443-275-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1434 Villena Ave Apt 304",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336125035",
            "country_code": "US",
            "telephone_number": "443-985-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBI",
        "first_name": "CHINYERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.