William-Micah Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WILLIAM-MICAH PSYCHIATRIC SERVICES LLC

Practice address

6811 Kenilworth Ave Ste 500-E12
Riverdale, MD 20737-1333

Phone

(301) 412-1594

NPI assigned

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Francis Ifeanyi Ihejirika, NP

Title

Pmhnp/Owner

Phone

(301) 412-1594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1598549040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 KENILWORTH AVE STE 500-E12",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371333",
            "telephone_number": "301-412-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 KENILWORTH AVE STE 500-E12",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371333",
            "telephone_number": "301-412-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM-MICAH PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "IHEJIRIKA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "301-412-1594",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Riverdale, MD
• Providers in Riverdale, 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 Oct 31, 2023; 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.